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Figure Credits

Chapter 6 (Poole sucker)


Blackbourne, LH. Advanced Surgical Recall, 3rd ed. Baltimore,
MD: Lippincott Williams & Wilkins; 2007:55.
Chapter 6 (Gigli saw)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed. Baltimore,
MD: Lippincott Williams & Wilkins; 2007:51.
Chapter 10 (carotid endarterectomy)
Lawrence PF, Bell RM, Dayton M . Essentials of General
Surgery. 3rd ed. Philadelphia, PA: Lippincott Williams &
Wilkins; 2000:545.
Chapter 14 (Pringle maneuver)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins; 2007:93.
Chapter 14 (percutaneous endoscopic gastrostomy)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins; 2007:55.
Chapter 30 (craniocaudal view and MLO view mammograms)
Gay SB, Woodcock RJ Jr. Radiology Recall. Philadelphia,
PA: Lippincott Williams & Wilkins; 2000:522.
Chapter 30 (free air seen on chest radiograph)
Lawrence PF, Bell RM, Dayton M. Essentials of General
Surgery. 3rd ed. Philadelphia, PA: Lippincott Williams &
Wilkins; 2000:267, Fig 7-19A.

Chapter 38 (anatomy of the larynx)


Doherty GM, Meko JB, Olson JA, et al. T e Washington
Manual of Surgery, 2nd ed. Philadelphia, PA: Lippincott
Williams & Wilkins; 1999:635, Fig 42-6.
Chapter 38 (pneumothorax)
Daf ner RH. Clinical Radiology. T e Essentials. 2nd ed.
Baltimore, MD: Williams & Wilkins; 1999:154, Fig 4-91B.
Chapter 38 (widened mediastinum)
Greenfield LJ, Mulholland MW, Oldham KT, et al. Surgery:
Scientific Principles and Practice. 3rd ed. Philadelphia, PA:
Lippincott Williams & Wilkins; 2001:330, Fig 11-40.
Chapter 56 (rectus abdominis fap reconstruction)
Green field LJ, Mulholland M, Oldham KT, et al. Surgery:
Scientific Principles and Practice. 2nd ed. Philadelphia, PA:
Lippincott-Raven; 1997:2238, Fig 114-4.

821

822 Figure Credits


Chapter 40 (Sengstaken-Blakemore balloon)
Lawrence PF, Bell RM, Dayton M . Essentials of
General Surgery. 3rd ed. Philadelphia, PA: Lippincott
Williams & Wilkins; 2000:353, Fig 18-8.
Chapter 42 (lap-band)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins;
2007:329.
Chapter 52 (French system)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins;
2007:137.
Chapter 52 (liver segments)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins;
2007:137.
Chapter 57 (gastrinoma triangle)
Green field LJ, Mulholland M, Oldham KT, et al.
Surgery: Scientific Principles and Practice. 2nd ed.
Philadelphia, PA: Lippincott-Raven; 1997:924, Fig
34-8.
Chapter 56 (mammogram showing breast cancer)
Daf ner RH. Clinical Radiology: T e Essentials. 2nd

ed. Baltimore, MD: Williams & Wilkins; 1999:245, Fig


6-9A.
Chapter 66 (endovascular repair)
Zelenock GB, Huber S, Messina LM, et al. Mastery
of Vascular and Endovas-cular Surgery. Philadelphia,
PA: Lippincott Williams & Wilkins; 2005.
Chapter 74 (Colles fracture)
McKenney MG, Mangonon PC, Moylan JA.
Understanding Surgical Disease: T e Miami Manual of
Surgery. Philadelphia PA: Lippincott-Raven; 1998:355, Fig
4.

Chapter 74 (Lachman test)


Redrawn from Spindler KP, Wright RW. Anterior
Cruciate Ligament ear. N Engl J Med November 13,
2008; 359:2135, Fig 2.
Chapter 75 (Kochers point)
Spector SA. Clinical Companion in Surgery.
Philadelphia, PA: Lippincott Williams & Wilkins;
1999:430, Fig 33-1.
Chapter 75 (bitemporal hemianopsia)
Blackbourne, LH. Advanced Surgical Recall, 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins;
2007:747.

Index
Note: Page number in italics indicate figure only.

Abbre
viation
s, list
of, 1418
Abdo
men
acute, 206-209
laye
rs of
wall
of,
108,
217
pain
in,
206
212
radiologic studies, 188193
Abdominal
aortic
aneurysms (AAA),
510,
510-515, 800
atheroscl
erosis
and, 511
and

colo
nic
isch
emia
,
513514
com
plica
tions
operative
, 513
postoperati
ve, 514
diagnostic
tests, 512
differential
diagnosis,
511
endovascul
ar repair,
512, 515
extraanatomic
bypass graf
, 515, 515
repair of,
90
r

i
s
k
s
f
o
r
r
u
p
t
u
r
e
,
5
1
1
s
y
m
p
t
o
m
s
,
5
1
1
treatment, 512, 512, 513
Abdominal
compartment syndrome,

157-158 Abdomino
perineal resection
(APR), 84
Abduction, 707
Above-the-knee
amputation
(AKA), 507, 507
Abrasion, 586
A
b
s
c
e
s
s
,
1
7
3

a
p
p
e
n
d
i
c
e
a
l
,
3
0

e
B
e
z
o
l
d

s
,
6
0
5
b
r
e
a
s
t
,
4
2
3
4
2
4
d
r
a
i
n
a
g

o
f
,
7
2
,
7
2
o
f
l
i
v
e
r
,
3
5
8
3
6
1
l
u
n
g
,
6

4
5
p
a
n
c
r
e
a
t
i
c
,
3
9
5
3
9
6
p
e
r
i
r
e
c
t
a
l
,
3
3
5
p

e
r
i
t
o
n
e
a
l
,
1
7
7
p
e
r
i
t
o
n
s
i
l
l
a
r
,
6
1
7
spinal epidural,
756-757
Acalculo
us

cholecystitis,
acute,
380
Achalasia,
653-654, 654
Achilles
tendon
rupture,
724,
724
Acoustic
neuroma,
630
Actini
c
kerato
sis,
479
Actin
omyce
s
infecti
on,
800
Acute
respiratory
distress
syndrome
(ARDS),
32, 493
Addis
onian
crisis,
150151
Addis
ons
diseas
e, 436
Adduction, 707
Adhesions, 147

Adren
al
adeno
ma,
434
Adren
alecto
my,
428,
429
Adren
al
gland
adrenal
incidentaloma
,
429-430
anatomy of,
424
Conns
syndrome,
434-436
Cushings
syndrome,
425-429
pheochrom
ocytoma,
430-434
physiology
of, 425
Adrenal
hyperplasia,
434
Adrenal
incidentaloma,
429-430
Adrenal
insufficiency,

806
Adrenocorticotropic
hormone
(ACTH),
425.
See
also
Cushings
syndrome
Adson maneuver, 633
Adson pickup, 43
Advanced trauma life
support
(ATLS)
protocol, 25-30
Afferent loop
syndrome, 32
AFib, 508, 516
Alfa
toxin,
hepatocellular
carcinoma and, 357 Afterload,
492, 662
Aganglionic megacolon. See
Hirschsprung
s
disease
A-gram, 342, 503,
512, 523
Airway,
assessment of,
230-231
Airway
pressure
release
ventilation
(APRV),
497
Albumin, 138
Albumin-furosemide
sandwich,
126
Albuterol, 138
Alcohol withdrawal,
signs
of,
160
Aldosterone, 434435
Alkaline
phosphatase,
370 Allens

test, 25,
25, 153
Allis clamp, 49
Allograft, 686
Allograft bone, 708
Alphafetoprotein
(AFP), 773
Maurois
fugal, 518
Amebic liver abscess,
359-360
Amici-epsilonaminocaproic acid,
804
Aminoglutethimide,
429
Amphotericin, 135
Amputations, lower
extremity, 507, 507
Amyands hernia, 217
Anal cancer,
330-331
Anal ssure,
335-336, 336
Anaplastic
carcinoma,
456
Anatomic snu
ox, pain in,
594
Androgen
ablation
therapy, 770

823

824 Index
Anesthesia, 193-199
venous malformation (AVM), 752,
Aneurysm
abdominal aortic, 510, 510-515
of, 109
false, 500
Adamkiewicz, 107, 107, 514, 681
true, 500
732
Aneurysmal bone cyst, 731
joint, 732
Aniridia, 574
degenerative, 731
Ankle to brachial index (ABI), 503
traumatic, 731
Annular pancreas, 572
731
Anorectal stulas, 334
710
Anorectal malformations, 553-554
710
Anosmia, 597
pneumonia, 145-146
Anterior cord syndrome, 746, 746
129, 138, 470, 504
Anterior spinal syndrome, 107, 514
ventilation (A-C), 496
Antibiogram, 133
141, 793
Antibiotics, 133-135
Atherosclerosis, 499, 511
Antigen-presenting cell (APC), 688

Arterio753
Artery, layers
Artery of
Arthritis, 731Charcots

postrheumatoid,
Arthrodesis,
Arthroplasty,
Aspiration
Aspirin, 127,
Assist-control
Atelectasis,

Augmentin,

133
Antithymocyte globulin, 690
abdomen, 207
Antrectomy, 92
murmur, 686
Anuria, 155
Anus, 330-339
fracture, 714, 714
Aortic dissection, 681-685, 799
bypass, 90, 90
DeBakey classi cation, 681, 681-682, 682
in, 405, 405
signs/symptoms, 683
nodes, 406, 406
Stanford classi cation, 682, 682
406
treatment, 683-684
(AZA), 689-690
Aortic insu ciency (AI), 669-670, 670
(Azactam), 135
Aortic stenosis (AS), 668, 668-669
Aphthous ulcer, 200
Apleys law, 582
Calmette-Gurin, 769
Appendectomy, 87, 302
ileitis, 345
incidental, 302
172
laparoscopic, 300, 303
abscess, 359
preop antibiotics for, 139
prostatitis, 786
Appendiceal abscess, 301
Appendiceal artery, 297
Balanoposthitis, 764
Appendiceal tumor, 304
25, 467

Auscultation,
Austin int
Autogra , 686
Avulsion
Ax Fem
Axilla, nerves
Axillary lymph
Axillary vein,
Azathioprine
Aztreonam

Bacillus
Backwash
Bacteremia,
Bacterial liver
Bacterial
Balanitis, 764

Ballances sign,

Appendicitis, 208, 297-303, 562-564


scissors, 44
antibiotics in, 301
surgery, 285-287
causes, 298
enema, 555
complications of, 301
maneuver, 735, 736
di erential diagnosis, 299
esophagus, 25, 276-277, 792
nonperforated, 300
carcinoma, 478-479
perforated, 301
fracture, 800
radiographic studies, 300
fracture, signs of, 739
signs/symptoms, 298
herniorrhaphy, 83
Appendix, 297-304
procedure, 219
tracing of, 107
plexus, 769
Appendix testis, 764
25, 25, 809
Army-Navy retractor, 51
26, 26, 234
Arterial bypass operation, 500
Wiedemann syndrome, 574
Arterial occlusion, acute, 508-510
disease, 526
diagnostic studies, 508
deformity, 761, 776, 776
hamburger sign, 563
607, 607-608, 629
preoperative management, 508
knee amputation (BKA), 507, 507
signs/symptoms of, 508
prostatic hyperplasia (BPH), 764,

Bandage
Bariatric
Barium
Barlows
Barretts
Basal cell
Basilar
Basilar skull
Bassini
Bassini
Batsons
Battles sign,
Becks triad,
BeckwithBehets
Bell clapper
Bells palsy,
Below-theBenign

sources of emboli and, 508


773
treatment, 509
200

771Benign tumor,

Index 825
Benne
tts
fractur
e,
715,
715
Benzo
diazep
ines,
139,
140
r
e
v
e
r
s
a
l
o
f,
1
9
8
1
9
9
B
e
r
g
m

a
n

s
t
r
i
a
d
,
2
6
B
e
r
r
y
a
n
e
u
r
y
s
m
,
7
5
1
-

752
Beta
dine,
586
Beta-human
chorionic
gonadotropin, 773
Bezolds abscess, 605
Bile, 370
c
o
n
s
t
i
t
u
e
n
t
s
o
f
,
2
0
4
d
a
i
l
y
s
e
c

r
e
t
i
o
n
,
1
1
3
B
i
l
h
e
m
i
a
,
3
6
1
B
i
l
i
a
r
y
a
t
r
e

si
a,
56
957
0
Bi
lia
ry
co
lic
,
37
2,
79
7
Bi
lia
ry
tra
ct,
36
938
7
acute
acalculous
cholecystitis,
380
acute
cholecystitis,
378-380
anatomy
related to,
369-370
carcinoma of
gallbladder,
384-385
cholangiocar

cinoma,
385-386
cholangi
tis, 381382
cholelithiasis,
375-378
diag
nosti
c
studi
es
for,
373374
galls
tone
ileus
,
383384
ob
str
uct
ive
jau
nd
ice
,
37
5
pat
ho
ph
ysi
ol
og
y

of, 371373
physiol
ogy of,
370371
sclerosing
cholangiti
s,
382383 and
surgery,
374
Bilious vomiting, 580
Billroth
II
procedure,
82, 270, 270
Billroth
I
procedure,
82, 269, 269
Biloma, 372
Bird
s
bea
k
sign
,
190,
190
Bla
dde
r
can
cer,
767
769
A
J

C
C
s
t
a
g
i
n
g
,
7
6
8
p
a
r
t
i
a
l
c
y
s
t
e
c
t
o
m
y
,
7
6

8
ri
sk
fa
ct
or
s,
7
6
7
a
n
d
T
U
R
B
,
7
6
87
6
9
B
la
d
d
er
st
ul
as
,
3
1
2
Bladder
outlet

obstr
uctio
n,
765
Blee
ding
es
o
p
h
a
g
ea
l
v
ar
ic
es
,
3
6
53
6
6
G
I
(s
ee
G
I
bl
ee
di
n
g)
Blepharoplasty, 583
Blind

loop
syndrome, 32,
148 Blood and
blood
products, 126131 Blood
transfusion,
127
Bloody diarrhea, in
ulcerative
colitis,
344 Blounts disease,
737
Blue dot sign, 547
Blue
toe
syndro
me,
507,
526
Blumer
s shelf,
26, 280
Boas sign, 26
Bochdaleks
hernia, 216, 540541, 541
Body fluid
comp
ositio
n of,
110
distri
butio
n by
weigh
t, 110

extr
acel
lula
r,
109
,
110
intr
acel
lula
r,
110
Body mass index
(BMI), 285
Boerhaaves
syndrome, 32,
273-274 Bogata
Bag, 158
B
o
n
e
t
u
m
o
r
s

b
e
n
i
g
n

,
7
2
8
malignant, 728
Bookwalte
r retractor,
52
Borchardts
triad, 26
Bouchards nodes,
731
Boutonniere
deformity, 594
Bovie
electrocautery, 50,
131 Bowens
disease, 331, 479
Boxers fracture,
593, 715, 715
Brachial plexus,
nerves of, 721
Brachytherapy,
200
Brai
n
absc
ess,
787
Brai
n
tumo
rs,
748
Branchial
cle
anomalies, 532-533
BRCA1 and BRCA2,
407

B
r
e
a
s
t,
4
0
4
4
2
4
a
b
s
c
e
s
s
,
4
2
3
4
2
4
anatom
y of,
404407
benign
breast
disease,
421

cancer of,
407-417
adjuvant
therapy, 416417
axillary
dissection,
414-415
biopsy,
indications for,
410
BRCA1/BRCA
2 and, 407
differential
diagnosis, 409
ductal carcinoma in
situ, 417-418 lobular
carcinoma in situ, 419420 lumpectomy and
radiation,
413-414
mammogram,
410,
410
mammotom
e
biopsy,
411 in men,
420
misdiagnosed, 407
modified radical
mastectomy,
413, 414
needle loc biopsy, 411
reconstruction
options, 415-416
risk factors for, 408
screening
recommendations for,
409
sentinel
node
biopsy, 415

sites
of
metast
ases,
413
stagin
g
syste
m,
412413
symptoms
/signs of,
408-409
tamoxifen
in,
415,
416
t
r
e
a
t
m
e
n
t
s
o
f
,
4
1
3
t
y

pes
of,
409
cystosarcoma
phyllodes, 421-422
fibroadenoma, 422
fibrocystic
disease, 422423
male
gynecomastia,

424
mam
mogr
am,
410,
411
masti
tis,
423
reconstruction, 415

826 Index
Breast
disease
,
benign,
421
Breast
mass,
411
Breast self-examination, 409
Brooke formula, for
burn resuscitation, 254
Brooke ileostomy, 83,
289, 289
Brown-Squard
syndrome, 746, 746,
789 Browns sign, 631
Buckethandle tear,
knee, 724
BuddChiari
syndrome,
32,
365
Buergers
disease, 526,
789,
796
Bullous
myringitis,
604
B
u
p
i

v
a
c
a
i
n
e
,
1
9
6
B
u
r
n
s
,
2
5
0
2
5
8
alkali, 250
antibiotic agents
in, 256-257
assessment and
resuscitation in,
253 Brooke

formula, 254
d
r
e
s
s
i
n
g
i
n
,
2
5
6
e
l
e
c
t
r
i
c
a
l
,
2
5
0
f
i
r
s
t

d
e
g
r
e
e
,
2
5
1
l
e
v
e
l
o
f
i
n
j
u
r
y
,
2
5
1
nasogastric
decompression
in,
255
Parkland

formula, 254
r
e
f
e
r
r
a
l
c
r
i
t
e
r
i
a
,
2
5
2
r
u
l
e
o
f
n
i
n
e
s
,

2
5
2
r
u
l
e
o
f
1
0

s
,
2
5
4
r
u
l
e
o
f
t
h
e
p
a
l
m
,
2
5
2

s
e
c
o
n
d
d
e
g
r
e
e
,
2
5
1
s
e
v
e
ri
t
y
o
f,
2
5
1
smoke inhalation, 253254
split
thickness
skin gra (STSG),
253
tetanus
prophylaxis in,
257
third-degree, 251
total
body

surface
(TBSA),
treatment
253
urine
output
in, 255
wound
infection
, 255256
Burn
shock,
254

area
251
of,

Calcul
us
diseas
e,
778779
Calots
node,
106,
369
Calots triangle, 106
Cancer of nasal cavity
and paranasal sinuses,
614-615
Cancer of
oral
cavity,
618-619
Cantles
line, 106,
350
Captopril

provocatio
n test, 523
Caput
medusae,
364, 364
Carbohydrate antigen
19-9 (CA-19-9), 400
Carbuncle, 181
Carcinoid
syndrome, 32,
305-307
Carcinoid
triad, 26
Carcinoid
tumors, 304-309,
643-644
Carcinoma
g
a
l
l
b
l
a
d
d
e
r,
3
8
4
3
8
5
p
a

n
c
r
e
a
ti
c
,
3
9
9
4
0
3
Cardiac electrolytes, 125,
662

Cardiac index
(CI), 661
Cardiac output
(CO), 661, 662
Cardiac
tamponade, 234
Cardiogenic
shock, 170-171
Cardiopulmonary
bypass (CPB),
666,
666-667
Cardiovascul
ar surgery,
661-686
acquired
heart disease
aortic
insuficiency,
669-670, 670
aortic
stenosis, 668,
668-669
artificial valve
placement, 673
cardiopulmonary
bypass, 666, 666667 coronary artery
bypass grafting, 664665 coronary artery
disease, 663
infectious
endocarditis,
673-674
mitral
regurgitation
, 672
mitral stenosis,

671, 671-672
postpericardioto
my syndrome,
665
cardiac tumors,
679-680
congenital heart disease
coarctation of
aorta,
677,
677-678
cyanotic heart
disease, 679
Ebsteins anomaly, 679
idiopathic
hypertrophic
subaortic
stenosis,
676-677
patent
ductus
arteriosus,
675,
675-676 tetralogy
of fallot, 676
transposition
of
great vessels, 678679 vascular rings,
679
ventricular septal
defect, 674, 674-675
great vessels, diseases
of
aortic
dissection, 681-685
thoracic aortic
aneurysm, 680-681
Carotid
endarterectomy
(CEA), 83, 519

incision, 77, 77
Carotid
ultrasound/Do
ppler, 519
Carotid
vascular
disease, 518521
Carpal
tunnel
syndrome,
595,
595-596 Cast saw,
726
Catamenial
pneumothor
ax,
636
Catecholam
ines, 430
Catheter-related
bloodstream
infections,
174
Cattel maneuver, 85,
85
Cauda equina
syndrome, 755
Caustic esophageal
strictures, 657-658
CEA. See Carotid
endarterectomy
(CEA) Cecal bascule
volvulus, 329

Cecal
volvulus,
328, 328329
Cefazoli
n
(Ancef),
134
Cefox
itin
(Mefo
xin),
134
Ce
azidi
me
(Ce
az),
134
Celia
c
trunk,
351,
351
CellCept, 691
Cellulitis, 172
Central cord syndrome, 746, 746
Central line associated
blood stream infection
(CLABSI), 174

Index 827
C
e
n
t
r
a
l
l
i
n
e
s
,
1
0
4

i
n
f
e
c
t
i
o
n
s
,
1

7
4
Ce
reb
ell
ar
ast
roc
yto
ma
s,
75
0
Ce
reb
ral
co
ntu
sio
n,
74
4
Cerebral
perfusion
pressure
(CPP), 740
Cerebrovascu
lar accident
(CVA), 518
p
osto
pera
tive,
154-

155
Cervical
disc
disease,
755-756
Chance
fracture,
747
Ch
arc
ot
s
joi
nt,
72
5,
73
2
Ch
arc
ot
s
tria
d,
27,
38
1
Ch
est
tub
es,
96
10
1
air
leak,
chec

k
i
n
g
f
o
r
,
1
0
0
c
m
m
e
a
s
u
r
e
m
e
n
t
s
o
n
,
9
7
H

eiml
ich
valv
e,
101
i
n
s
e
r
t
i
o
n
o
f
,
9
6
9
7
P
l
e
u
r
a
v
a
c
b
o
x

,
9
8
9
9
p
o
s
i
t
i
o
n
i
n
g
o
f
,
9
7
p
u
r
p
o
s
e
o
f
,

d
l
i
n
g
,

9
6
r
e
m
o
v
a
l
o
f
,
1
0
1
r
u
n
t
h
e
s
y
s
t
e
m
o
f,
1
0
0
ti

1
0
0
w
a
t
e
r
s
e
a
l
c
h
a
m
b
e
r
,
1
0
0
C
h
e
s
t

wall
tumo
rs,
634
Chief
cells,
202,
275
C
h
i
l
a
i
d
i
t
i

s
s
i
g
n
,
1
9
1
C
h
i
l
d
a

b
u
s
e
,
5
8
0
ChildTurcottePugh classi
cation, 353
Chimerism,
687
Cholangi
ocarcino
ma, 372,
384-386,
572
C
h
ol
an
gi
tis
,
3
7
2,
3
8
13
8
2
C

holecys
tectom
y, 87,
374
Cholec
ystente
ric
stula,
311
Cholec
ystitis,
372,
372
acute, 378-380
Cholecystokinin
(CCK),
203,
370-371
Cholecystostomy
tube, 96
Choledochal cyst, 570572
Choledochojejuno
stomy, 88, 373,
374
Choledocholithiasi
s, 372, 372, 378,
381
Cholelithiasis,
371, 371, 375-378,
572
b
i
l
i
a
r
y

c
o
l
i
c
,
3
7
7
B
o
a
s

s
i
g
n
,
3
7
7
c
h
o
l
e
c
y
s
t
e
c
t

o
m
y,
3
7
7
c
h
o
l
e
st
e
r
o
l
st
o
n
e
s,
3
7
6
c
o
m
p
li
c
a
ti
o
n
s,
3
7
7

diagnosis, 377
intraope
rative
cholangi
ogram,
378
pigment
ed
stones,
376
r
i
s
k
f
a
c
t
o
r
s
f
o
r
,
3
7
6
C
h
o
l
e
s

t
e
a
t
o
m
a
,
6
0
3
C
h
o
n
d
r
o
m
a
,
6
3
4
Chro
mium
defici
ency,
165
Chvos
teks
sign,
27,
122
Cimet
idine
(Taga

m
e
t
)
,
1
3
7
C
i
p
r
o
o
x
a
c
i
n
(
C
i
p
r
o
)
,
1
3
5
C
i
r
c

umcis
ion,
580

Cirrhosis
hepatocellular
carcinoma and,
357 and portal
hypertension,
363
Clay shovelers
fracture, 716,
747
Clindamycin,
134
Clips, 132
Clonidine, 140
Close
d
reduct
ion,
708
Clostr
idial
myosi
tis,
178
Closur
e, 55
CMV infections, 705
Coarctation of
aorta, 677, 677-678
Coin loesions. See
Solitary pulmonary
n
od
ule
(S
PN
)

Colic,
206
Colles
fracture,
714, 715
Colloid
fluid, 125
Colon
anatomy of, 312-313
and
small
bowel,
anatomic di erences
between, 108
Colonic
fistulas,
310-311
Colonic
polyps,
319-320
Colonic
transition zone,
555
Colonic
volvulus, 326
Colonoscopy, 341
Colon
surgery, preop
antibiotics
for,
139
Colorectal carcinoma, 314319
adjuvant
treatment,
318
liver
metastases
from, 318
preoperative
bowel
preparation, 317 risk
factors for, 314
scre
enin

g
f
o
r
,
3
1
4
s
p
r
e
a
d
o
f
,
3
1
6
surgical
treatment
, 317-318
surveillan
ce
regimen,
319
TMN
staging
system, 316317
Colostomy, 288
Colovesical stula, 310

Comminuted fracture,
711, 711
Communicating
hydrocele, 762, 762
Compartment syndrome,
33, 509-510,
719-720, 735
Compliance, 492, 662
Congenital diaphragmatic hernia,
540-541, 541 Congenital hip
dislocation, 735-736, 736
Conjoint tendon, 222
Connells
stitch, 60, 60
Conns
syndrome,
434-436
Constipation,
147
infant, 543
Continuous positive airway
pressure
(CPAP),
496
Con
tract
ility,
492
Con
trec

o
u
p
,
7
4
4
C
o
n
t
u
s
i
o
n
,
5
8
6
Conventional
cutting
needle,
56
Coopers
hernia, 216

828 Index
Cooper
s
ligamen
ts, 83,
406
Cordis,
104
Co
rd
lip
o
ma
,
22
1,
54
7
Co
ro
na
ry
art
eri
es,
66
2
Coronary artery bypass
gra ing (CABG), 91,
91, 664, 664-665
Coronary artery
disease (CAD),
663
Coronary
ligament, 350

Coronary vein, 108


Corticosteroids, in
transplants, 689
Corticotropin-releasing
hormone (CRH), 425
Coud catheter, 103, 103,
761
Coup, 744
Courvoisi
ers
gallbladde
r,
387
Courvoisie
rs law, 27
Cour
voisi
ers
sign,
400
Cran
ial
nerv
es,
597598
Cranio-Caudal
mammogram, 192,
192
Craniosynostosis,
759-760
Cricoid
pressure,
194, 194
Cricothyr

oidotomy,
86, 629
CriglerNajjar
syndrome
, 568
Crocodile
tears, 631
Crohns
disease,
343349
anal
involve
ment
in, 345
anatomic
distribution
, 344 bowel
wall
involvemen
t in, 345
complicatio
ns, 346
diagnostic tests for, 346
extraintestinal
manifestations
,
343
incidence, 344
initial symptoms, 344
intraopera
tive
ndings of,
349
medical
treatment,
347-348
mucosal

ndings in,
345
rectal
involv
ement
in,
345
and
risk of
cancer,
346
route
of
spread
, 345
surgical treatment, 347
CronkhiteCanada
syndrome, 323
Croup,
621,
631
Cryopreci
pitate
(cryo), 126
Cryptorchi
dism, 545,
763, 773
Cullens
sign, 27,
395
Curl
ings
ulcer
,
199,
266
Cus
hing

s
dise
ase,
425
Cus
hing
s re
ex,
740
Cushings
syndrome,
425-429
cortisol
production in,
425, 428
dexa
methas
one
test,
426
signs/s
ympto
ms of,
426
Cushin
gs
triad,
27
Cush
ings
ulcer,
199,
266
Cuto
sign,
190

Cyanoti
c heart
disease,
679
Cyclosp
orine
(CSA),
690
Cyproh
eptadin
e, 308
Cystic brosis (CF), 552

C
y
s
t
i
c
h
y
g
r
o
m
a
,
5
3
4
C
y
s
t
o
g
r
a
m
,
7
6
1
Cystosarcoma
phyllodes,
421-422
Cystoscope,
761

Dakin solution, 94
Damage
control
surgery,
248
Dances
sign, 28,
581
Dantrolene
(Dantrium),
138,
808
DDAVP, 808
D
e
a
d
s
p
a
c
e
,
4
9
2
,
4
9
3
D
e
a
v
e
r

r
e
t
r
a
c
t
o
r,
5
1
D
e
B
a
k
e
y
p
i
c
k
u
p
,
4
3
D
e
c
o
r
ti
c
a
ti

o
n
,
6
3
5
D
e
c
u
b
it
u
s
u
l
c
e
r,
2
0
0
Deep
venous
thrombosis
(DVT),
142-143
Delayed
primary
closure
(DPC), 93
Demerol, 140
De
Quervain
s
hyroiditis
,
459
Dermato
mes, 738
Desmo
id

tumors
, 321,
322
Detac
hed
retina,
790
Diabetes
insipidus
(DI), 152
Diabetic
ketoacidosis
(DKA), 150
Diagnostic
peritoneal
lavage (DPL), 242-243
Diaphragm rupture, 799
D
i
a
p
h
y
s
i
s
,
7
1
0
D
I
C
,
1

5
6
1
5
7
Dieulafoys
ulcer, 199, 266
Di use axonal
injury (DAI),
744 Di use
esophageal
spasm, 654-655
DiGeorges
syndrome, 461
Digitalis, 139, 517
Digital
rectal
examination
(DRE), 763 Direct
inguinal hernia,
217
Disability,
assessment of,
236-237
Dislocations,
709
e
l
b
o
w
,
7
2
2

h
i
p
,
7
2
2
k
n
e
e
,
7
2
2
shoulder, 721
Distal
intestinal
obstruction
syndrome
(DIOS),
552
Diverticular abscess, 326
Diverticular
disease of colon,
323-329
Diverticulitis, 310,
324-326
Diverticulosis
,
323-324,
324,
340
Dobutamine,
490
D
o

g
b
i
t
e
s
,
2
5
0
D
o
p
a
m
i
n
e
,
4
9
0
Dopamin
e
antagonis
t, 138
Doublebarrel
colostomy
, 288
Double bubble
sign, on X-ray,
582 Drains

J
a
c
k
s
o
n
P
r
a
t
t
,

9
5
P
e
n
r
o
s
e
,
9
5
purpose of, 95

Index 829
Dre
ssle
rs
syn
dro
me,
665
Dro
p
nge
r
inju
ry,
593
Ductal
carcinoma in situ
(DCIS), 417,
417-418
Ducts of Luschka, 369
Duhamel
procedure, 556,
556
Dumping
syndrome, 33,
149, 797, 802
Duodenal
atresia, 550-551
Duodenal
hematoma,
580
Duodenal
ulcers, 105,
261-264

Dupuytr
ens
contract
ure,
595,
725
D5W,
113
D
y
s
p
h
a
g
i
a
,
5
9
7
D
y
s
u
r
i
a
,
7
6

EagleBarretts
syndrom
e,
581
Ebsteins
anomaly,
679
EEA
(end-to-end
anastomosis) stapler,
48
Eisenmengers
syndrome, 675
Ejection fraction,
661
Electrolyte loss,
daily, 110
Electrolytemediated ileus, 125
Emergent
endoscopic
sclerotherapy, 366
Empiric therapy,
173
E
m
p
y
e
m
a
,
6
3
5

E
n
d
c
o
l
o
s
t
o
m
y
,
2
8
8
E
n
d
o
c
ri
n
e
s
y
st
e
m
,
4
2
4
4

46
Addiso
ns
disease
, 436
adrenal gland, 424-436
adrenal
incidentalo
ma, 429430
anatomy
of, 424
Conns
syndrom
e, 434436
Cushing
s
syndrom
e, 425429
pheochr
omocyto
ma, 430434
physiolo
gy of,
425
g
l
u
c
a
g
o
n
o

m
a
,
4
3
8
i
n
s
u
l
i
n
o
m
a
,
4
3
6
4
3
7
multiple
endocrine
neoplasia,
443-446
somatostatin
oma, 438439
Zollinge
r-Ellison
syndrom

(ZES),
439-442
Endomet
rial
carcinom
a,
799
Endosco
pic band
ligation,
366
Endosco
pic
retrograd
e
cholangiopanc
reatography
(ERCP), 373,
373
Enteral feeding, 166
Enterocutan
eous stula,
309-310
Enterohepat
ic
circulation,
202
Enterolysis,
87
Enuresis, 764
Epidermal inclusion
cyst (EIC), 479
Epidermal/sebaceous
cyst, removal of, 73, 73
Epididymitis, 763, 777
Epid
ural
absc
ess,

7
8
6
,
8
0
2
E
p
i
d
u
r
a
l
a
n
e
s
t
h
e
s
i
a
,
1
9
3
Epiglottiti/peritonsill
ar abscess, 799

Epidural hematoma,
742,
742-743
Epigastric
hernia,
216
Epigastric pain, 209
Epiglottitis, 622, 622623,
631,
632
Epinephrine, 490-491
Episp
adias,
764
Epist
axis,
611612
Erectile
dysfunction, 764,
778 Esophageal
atresia, 800
with
tracheoesophageal
stula,
537-539,
537-540
without
tracheoesophageal
stula,
537 Esophageal carcinoma,
658-660
Esophageal hiatal hernias, 224-226
paraes
ophage
al, 226
sliding,
225
Esophageal re ux, 656-657
Esophageal
variceal
bleeding,
271-273
Esophageal varices, 364,
364,
365-366
Esophagectomy, 660

Es
op
ha
gu
s,
65
266
0
ac
hal
asi
a,
65
365
4
a
n
a
t
o
m
y
,
6
5
2
6
5
3
c
a
n
c

er of,
658660
caustic esophageal
strictures, 657-658 di
use esophageal spasm,
654-655 esophageal re
ux, 656-657
nutcracker
esophagus, 655
Zenkers
diverticulum, 653,
653
Esthesioneuroblasto
ma, 630
Eversion, 707
Ewings sarcoma, 634, 729,
730-731, 800 Excisional
biopsy, 93
Exploratory laparotomy, 89
Extended lymph node
dissection,
283
Extracorporeal membrane
oxygenation
(ECMO), 530

Fa
ce
li
,
58
3
F
ac
ia
l
fr

a
c
t
u
r
e
s
mandible
fractures, 626,
626
midface
fractures, 626628, 627
Facial nerve
paralysis, 606607 Facial
paralysis, 629
Factor V Leiden, 131
Familial
adenomatous
polyposis (FAP), 321
Familial
hypocalciuric
hypercalcemia,
463
Famotidine (Pepcid), 138
Fasci
al
dehis
cenc
e,
158
FAS
T
exam
,
241242
Fat
necr
osis,

788
Fatty acid
de ciency,
165 Felon,
182, 592

Femoral hernia, 216, 223, 797


Femoral vein, drawing
blood from, 66, 67
Femoral vessels, 106
Fem pop bypass, 90, 90

830 Index
Fentanyl, 199
Fetal
circulation,
528-530,
529 Fever,
postoperati
ve,
182183 FFP
(fresh
frozen
plasma),
804 Fibrin
glue, 132
Fibroadeno
ma, 420,
422
Fibrocystic
disease,
422-423
Fibrous
dysplasia,
634, 729
Figure-ofeight suture,
132
Fine needle
aspirate
(FNA), 450
Finochietto
rib spreader,
52
Fistula in
ano, 333-

334
Fistulas, 309-312
bladder, 312
colonic, 310-311
enterocutaneo
us, 309-310
external
pancreatic,
311, 311-312
pancreatic
enteric, 311
Fitz-Hugh-Curtis
syndrome, 33, 182,
811 Fixation, 708
Flail
chest
,
233,
233234
Flap
s,
587589
a
x
i
a
l
,
5
8
7

IV
replacement
uids, 113114
maintenance
uids,
calculation of, 114-116
third spacing, 111-113
Fluid status,
assessment of, 112
Focal nodular
hyperplasia
(FNH), 356
Fogarty balloon
catheter, 509
Fog
reduction
elimination
device
(FRED),
228
Foley
catheter,
103, 103-104, 104,
761
placement
of,
68, 68
three-way, 784, 784
Follicular
adenocarcinoma,
453-454
Foot dorsi exion,

f
r
e
e
,
5
8
8
rotational, 588
simpl
e
adva
ncem
ent,
588
TRA
M,
588
V-Y advancement, 589,
589
Flexor
digitorum
profundus (FDP), 592,
592 Flexor digitorum
super cialis (FDS), 592,
592 Fluconazole (Di
ucan), 135
Fluid losses,
insensible,
113
Fluids and
electrolytes,
109-111
electrolyte
imbalances,
116-126

707
Forcep, 42, 42
Forearm
compartment
syndrome,
719
Foregut, location
of, 106
Foreign body,
aspirated,
534-535

Fothergills
sign, 28
Fourniers
gangrene, 181,
761, 783 Foxs
sign, 28, 395
F
r
a
c
t
u
r
e
s
,
7
1
1
7
1
7
a
v
u
l
s
i
o
n
,
7
1
4
,

7
1
4
B
e
n
n
e
t
t

s
,
7
1
5
,
7
1
5
b
o
x
e
r

s
,
7
1
5
,
7

1
5

clay
shoveler
s
avulsion,
716
closed,
711
Colles, 714, 715
co
m
mi
nu
ted
,
71
1,
71
1
Ga
lea
zzi
,
71
6
g
r
e
e
n
s
t
i
c
k
,
7
1

3
,
7
1
3
H
a
n
g
m
a
n

s
,
7
1
6
impacted, 713
i
n
t
r
a
a
r
t
i
c
u
l
a
r
,

7
1
4
J
o
n
e
s
,
7
1
5
l
o
n
g
i
t
u
d
i
n
a
l
,
7
1
3
M
o

n
t
e
g
g
i
a
,
7
1
6
n
i
g
h
t
s
t
i
c
k
,
7
1
6
o
b
l
i
q
u
e

,
7
1
2
,
7
1
2
o
p
e
n
,
7
1
1
p
a
t
h
o
l
o
g
i
c
,
7
1
3
p

e
r
i
a
r
t
i
c
u
l
a
r
,
7
1
4
p
i
l
o
n
,
7
1
6
,
7
1
6
P
o
t

s
,
7
1
7
s
e
g
m
e
n
t
a
l
,
7
1
2
,
7
1
2
s
i
m
p
l
e
,
7
1

1
S
m
i
t
h

s
,
7
1
5
s
p
i
r
a
l
,
7
1
3
,
7
1
3
s
t
r
e
s
s

,
7
1
3
tib
ial
pla
tea
u,
71
6,
71
6
tor
us,
71
4,
71
4
t
r
a
n
s
c
e
r
v
i
c
a
l
,
7
1
6

t
r
a
n
s
v
e
r
s
e
,
7
1
2
,
7
1
2
Frank
Starli
ng
curve
, 492
Free
air,
191,
191
Frequency,
urination,
763 Fresh
frozen
plasma
(FFP), 126

Frey
procedure,
394
Freys syndrome, 630, 631
Full thickness skin
graft (FTSG), 583, 587
Functional endoscopic
sinus (FESS), 614
Furosemide (Lasix),
138, 139
Furuncle, 181

Galeazzi fracture, 716


Gallbladder
emptying,
203,
370
Gallstone
ileus, 383,
383-384
Gallstone
pancreatitis
, 394-395
Gallstones,
205
Gallstone ileus, 799
Gamekeepe
rs thumb,
595, 595
Ganglion
cyst, 593
Gangrene
dry, 506
wet, 507
Gardners
syndrome, 33, 321322, 322 Gas-bloat
syndrome, 279

Gast
ric
byp
ass,
286,
286
Gas
tric
can
cer,

279284
Gastric,
daily
secretio
n, 113
Gastric
dilatatio
n, 146
Gastric parietal cells, 202, 275

Index 831
Gastric ulcers, 199, 264-266
rule, 28, 28, 333, 333
Gastric volvulus, 285
Gastrin, 203-204
patch, 88, 267, 268
Gastrinoma, 439
disease, 457-458
Gastrinoma triangle, 107
fracture, 713, 713
Gastrocolic stula, 311
Turners sign, 28, 395
Gastrocolic re ex, 205
hernias, 217-224
Gastroduodenal artery, 105
hernia, 223
Gastroenteritis, 210

Goodsalls
Gout, 732
Graham
Graves
Greenstick
Grey
Groin
femoral

inguinal hernia
Gastroesophageal re ux disease (GERD),
anatomy related to, 222
276-279, 548
direct, 217-218
Gastrointestinal anastomosis (GIA) device,
indirect, 218, 218-219
46, 59, 59
repair of, 219-223
Gastrointestinal stromal tumor (GIST), 284
hernia, 215
Gastrointestinal system
96

Grynfeltts
G-tube,

hormones of, 202-205


Gubernaculum, 105
cholecystokinin (CCK), 203
Gynecologic pain, 209
gastrin, 203-204
Gynecomastia, male, 424
secretin, 203
somatostatin, 204
physiology of, 204-205
Haloperidol (Haldol), 138
Gastroschisis, 560-561
240
Gastrostomy, 288
sign, 28, 273
G cells, 202, 275
surgery, 589-596
GCS scoring system, 237
tunnel syndrome, 595, 595-596
General anesthesia, 194
anatomy
Gentamicin, 134
and joints, 589
Gerotas fascia, 105
mans land, 590, 590
Ghrelin, 287

H
Halo sign,
Hammans
Hand
carpal
related
bone
no

sensory supply, 590-591, 591


GI bleeding
trauma zones, 590, 590
lower, 339-342
Hangmans fracture, 716, 747
pediatric, 543
687

Haplotype,

upper, 258-274
Hartmanns pouch, 91, 288, 370
Boerhaaves syndrome, 273-274
Hartmanns procedure, 84, 326
di erential diagnosis of, 259
Hashimotos thyroiditis, 459-460
duodenal ulcers, 261-264
neck surgery, 597-632
esophageal variceal bleeding, 271-273
anatomy, 597-600
gastric ulcers, 264-266
600
Mallory-Weiss syndrome, 270-271
larynx, 620
peptic ulcer disease, 260-261
palsy, 607, 607-608
perforated peptic ulcer, 266-267
stress gastritis, 270
suppurative otitis media, 604-606
and surgeries, 268-270

Head and

ear,

Bells
ear
acute

bullous myringitis, 604


Gilberts syndrome, 387, 568
cholesteatoma, 603
GI lymphoma, 477
nerve paralysis, 606-607
Glasgow Coma Scale (GCS), 738, 739
glomus tumors, 611
Gleason score, 770
malignant otitis externa, 601-602
Glioblastoma multiforme (GBM), 748-749

facial

Mnires disease, 610-611


Glioma, 748-749
externa, 600-601
Glissons capsule, 349

otitis

otosclerosis, 606
Globus, 597
sensorineural hearing loss, 608-609
Glomus tumors, 593, 611
tumors of external ear, 602
Glossary, of surgical terms, 18-24
tympanic membrane perforation,
Glottic lesions, 624
602-603
Glucagonoma, 800
vertigo, 609-610
Glucagonoma tumors, pancreatic, 404, 438
fractures, 626-628
Glucuronyl transferase, 568
neck dissection, 625
Gomco clamp, 761
mass, 624-625

facial
modi ed
neck

832 Index
Head and neck surgery (Continued)
virus, hepatocellular carcinoma
nose and paranasal sinuses
357
acute rhinitis, 612

Hepatitis B
and,

Hepatoblastoma, 578-579
acute sinusitis, 613
Hepatocellular adenoma, 355
allergic rhinitis, 612-613
Hepatocellular carcinoma, 357-358
cancer of, 614-615
355
chronic sinusitis, 614
Hepatomegaly, painful, 358
epistaxis, 611-612
nonpolyposis colon cancer
juvenile nasopharyngeal angio broma,
(HNPCC), 314
615-616
226
oral cavity and pharynx
hiatal, 224-226
cancer of oral cavity, 618-619
224
croup, 621
of, 212
epiglottis, 622, 622-623
precipitating factors, 212

Hepatoma,

Hereditary

Hernia, 212esophageal
groin, 217incidence

glottic lesions, 624

reducing of,

213
ludwig angina, 618
214-217
malignant lesions of larynx, 623
763
peritonsillar abscess, 617
hernia, 216
pharyngotonsillitis, 616-617
triangle, 106, 217, 544
salivary gland tumors, 619-620
of, 222
supraglottic lesions, 623-624
687
radical neck dissection, 625
217
selective neck dissection, 626
catheter, 104
Heart transplant, 702, 702-703
374
Heberdens nodes, 731
frequency ventilation (HFV), 497
Heel spur, 726
procedure, 219
Heerfordts syndrome, 629
selective vagotomy, 87, 87
Heineke-Mikulicz pyloroplasty, 88
location of, 106
Hemangiomas, 581
dislocation, 797
Hematochezia, 258, 340
s disease, 554-557, 799
Hematuria, 763, 765
Histocompatibility antigens, 687
and bladder cancer, 768
surgical, 39-41
Hemicolectomy, 92

types of,
Hesitancy,
Hesselbachs
Hesselbachs
boundaries
Heterotopic,
Hiatal hernia,
Hickman
HIDA scan,
High
High ligation
Highly
Hindgut,
Hip
Hirschsprung

History,
HITT

syndrome, 33
Hemobilia, 361
disease, 475-476
Hemodynamic monitoring, in surgical
staging of, 476
intensive care, 494-495
for, 476
Hemophilia A, 129, 130
plaque, 520
Hemophilia B, 129, 130
29, 142
Hemoptysis, 645-646
mattress stitch, 57
Hemorrhagic pancreatitis, 395
syndrome, 637, 760
Hemorrhoidectomy, 339
Romberg sign, 29, 224
Hemorrhoids, 337-339, 365
external, 337
250
rst-degree, 338, 338
chorionic gonadotropin (HCG), 466
fourth-degree, 339
syndrome, 466
hemorrhoidectomy, 339
thyroid cancer, 454
internal, 337
freckle, 482
second-degree, 338, 338
cyst, 360-361
third-degree, 338, 338
545, 762
Henoch-Schnlein syndrome, 581
communicating, 545
Heparin, 136
noncommunicating, 545

Hodgkins
Ann Arbor
treatments
Hollenhorst
Homans sign,
Horizontal
Horners
HowshipHSV, 706
Human bites,
Human
Hungry bone
Hrthle cell
Hutchinsons
Hydatid liver
Hydrocele,

Heparin rebound, 667


Hydrocephalus, 757-758
Hepatic encephalopathy, 368
757
Hepatic hemangioma, 356-357
communicating, 757
Hepatic lobectomy
758
le , 353
noncommunicating, 757
right, 353
series, 758
Hepaticojejunostomy, 86, 86, 373
of, 758

causes of,

ex vacuo,

shunt
treatment

Index 833
Hydrops of gallbladder,
387
5hydroxyindoleacetic
acid (5-HIAA), 307
Hyperaldosteronism
primary, 434 (see
also
Conns
syndrome)
secondary, 435
Hy
per
calc
emi
a,
121
122
Hy
per
gly
ce
mia
,
123
124
Hyperkalemia,
116118, 125, 126, 798,
807
Hypermagnesemia,
123

Hypernatremia, 119120, 807


Hyperparathyr
oidism
(HPTH), 462465
primary,
462-463
s
e
c
o
n
d
a
r
y
,
4
6
2
t
e
r
t
i
a
r
y
,
4

6
2
treatment of, 464-465
Hyperph
osphate
mia,
124-125
Hyperspl
enism,
470
H
y
p
e
r
t
e
n
s
i
o
n
(
H
T
N
)

p
o
s
t
o
p
e

r
a
t
i
v
e
,
1
6
0
surgically
correctable, 471472
Hypertrophic
pulmonary
osteoarthropathy,
642
H
y
p
e
r
t
r
o
p
h
i
c
s
c
a
r
,

58
6
Hy
po
cal
ce
mi
a,
12
212
3
Hypochloremic
alkalosis,
surgical
causes
of,
111
Hypogastric artery, 108
Hypoglossal
nerve, 520,
520,
599
Hypoglyce
mia, 124
Hypokalemia, 118-119
Hypokalemic
hypochloremic
metabolic
alkalosis,
treatment for, 112
Hypom
agnese
mia,
123
Hypona
tremia,
120121,
807
Hypoph

os
ph
ate
mi
a,
12
4
Hy
po
spa
dia
sis,
76
4
H
y
p
o
t
e
n
s
i
o
n
,
1
5
9
H
y
p
o
v
o
l

e
m
i
a
physiol
ogic
response
to, 111
vital
signs,
changes
in, 112
Hypovol
emic
shock,
167-169
Hypoxia,
160
Hytrin, 772

ICP, 740, 741


I & D (incision and
drainage of pus), 89
Idiopathic
hypertrophic
subaortic stenosis
(IHSS), 676-677
Idiopathic
thrombocytopenic
purpura
(ITP),
468, 470-471
Ileal conduit, 289
Ileoan
al
pullthroug
h, 92

Il
i
o
i
n
g
u
i
n
al
n
e
r
v
e,
1
0
6
,
5
4
7
I
M
A
a
rt
e
r
y,
4
4
8
Imipenem and
cilastatin
(Primaxin),
134
Immunosuppr

ession, 688-692
antithymocyte globulin,
690

azathioprin
e (AZA),
689-690
corticoster
oids, 689
cyclos
porine
(CSA)
, 690
induct
ion
therap
y, 689
mycophe
nolate
mofetil,
691
OKT3,
691
s
i
r
o
l
i
m
u
s
,
6
9
1
t
a
c

ro
li
m
us
,
69
1
triple
therapy,
689
Impacted
fracture,
713
Imperforate
anus, 553-554
Incentive
spirometry, 161,
161 Incisional
biopsy, 93
Incision
al
hernia,
215
Incision
(s), 7379
carotid
endarterectomy,
77, 77 inguinal
hernia repair, 77,
77
kidney
transplant, 75, 75
Kocher, 74, 74
laparoscopic
cholecystectomy, 77, 77
liver transplant, 76, 76
McBurneys, 74, 74
midline

laparoto
my, 74,
74
midline
sternoto
my, 76,
76
pfannens
tiel, 75,
75
R
o
c
k
yD
a
vi
s,
7
5,
7
5
th
or
a
c
ot
o
m
y,
7
6,
7
6
Incontine
nce, 764,
780-781

mixed, 780
o
v
e
r
o
w
,
7
8
0
s
t
r
e
s
s
,
7
8
0
u
r
g
e
,
7
8
0
Indirect
inguinal hernia,

216
Induction
therapy,
689
Infection, 172-182
central line, 174
clostridial
myositis,
178
necrotizing
fasciitis,
177-178
parotitis,
180
prophylactic
antibiotics, 179180
pseudomembra
nous
colitis,
179 suppurative
hidradenitis,
178-179 urinary
tract, 173-174
wound, 174-177
Infectious endocarditis, 673-674
In
ammatory
bowel
disease (IBD), 343-349.
See also Crohns
disease; Ulcerative
colitis (UC)
Inguinal hernia,
pediatric, 543547
indirect, 543
repair of, 545
r
i
s

k
factor
s for,
544
silk
glove
sign,
544
Inguinal orchiectomy, 775

INR
(International
normalized ratio), 126
Inspection, abdomen,
207
Inspiratory
to
expiratory time (I:E),
498 Insulinoma, 404,
436-437, 805

834 Index
Intensive care unit (ICU)
basics, 485-486
490
fever, causes of, 485
ICU care checklist, 486
ICU note, 485
pneumonia, 485
urine output, reporting of, 485
(JP) drain, 95
drugs, 490-491
dobutamine, 490
fracture, 747
dopamine, 490
288
epinephrine, 490-491
ileum, structural di erences
isoproterenol, 490
between, 108
nitroglycerine, 491
715
norepinephrine, 491
sodium nitroprusside, 491
nasopharyngeal angio broma,
vasopressin, 491
616
formulas and terms, 486-488
polyps, 323
anion gap, 487
arterial oxygen content, 487
cardiac index (CI), 486
signs, 593
cardiac output (CO), 486

Isogra , 686
Isoproterenol,
IVC lter, 144
IVP, 523

Jackson-Pratt
Jaundice, 148
Je ersons
Jejunostomy,
Jejunum and

Jones fracture,
J-tube, 96
Juvenile
615Juvenile

Kanavels
Kasabach-

Merritt syndrome, 357


central venous pressure (CVP), 486
467
fractional excretion of sodium (FENa),
45
488
mean arterial pressure (MAP), 487
mixed venous oxygen saturation, 488
429
oxygen delivery, 488
pulmonary capillary wedge pressure
transplant, 694-697
(PCWP), 486
kidney transplant, 696
pulmonary vascular resistance (PVR),
for, 695
487
kidneys, 696
stroke volume (SV), 486
697
systemic vascular resistance (SVR), 487
compatibility, 695
systemic vascular resistance index
766
(SVRI), 487
disease, 726
physiology, 491-494
264
Intercostobrachial nerve, 405
Intermittent mandatory ventilation (IMV), 496
tumor, 372, 386
Internal hernia, 214
Intestinal angina, 516
handle tear, 724
Intestinal transplantation, 703
722
Intraaortic balloon pump (IABP), 686
of, 722, 723

Kehrs sign, 29,


Kelly clamp,
Kellys sign, 29
Keloid, 586
Ketoconazole,
Ketorolac, 199
Kidney
heterotopic
indications
native
rejection,
tests for
Kidney tumor,
Kienbocks
Kissing ulcer,
Kjellberg, 741
Klatskins
Knee
bucketdislocation,
ligaments

Intracerebral hemorrhage, 753


723
Intraductal papilloma, 420
meniscus injuries, 724
Intraoperative cholangiogram (IOC), 230,
723
373, 378, 380
triad, 723
Intraparietal hernia, 216
Intravenous pyelogram (IVP), 763
tie, 63
Intravenous (IV) replacement uids, 113-114
ears, 61-63
Intussusception, 564-565
tie, 64-65, 64-65
Intussusceptum, 564
49
Intussuscipiens, 564, 799
incision, 374
Inversion, 707
maneuver, 84, 270, 388
Involuntary guarding, 206
740, 740
Irishs node, 281
288
Iris scissors, 43
tumor, 29, 281
Ischemic colitis, 803
cells, 304
Islets of Langerhans, 388
sign, 234

locked knee,
medial
meniscus of,
unhappy
Knot tying
instrument
knots and
two-hand
Kocher clamp,
Kocher
Kocher
Kochers point,
Kock pouch,
Krukenbergs
Kulchitsky
Kussmauls

Index 835

Laceration, 586
Lachman
test,
for
torn ACL,
723
Lactated
Ringers
(LR), 113
La
cta
tio
nal
ma
stit
is,
42
4
La
dd
s
ban
ds,
557
,
557
La
mb
ert
stit
ch,
60,

6
0
L
a
n
g
e
r

s
l
i
n
e
s
,
5
8
4
,
5
8
4
L
a
n
g
u

age,
surgi
cal,
7980
Lap
appy,
87
Laparoscopic
appendectomy,
300,
303
Laparoscopic
cholecystectomy,
374,
374, 379
La
pa
ros
co
py,
22
723
0
co
mp
lic
ati
on
s
of,
22
7
contraindic
ations to,
227
driving

camer
a
durin
g,
228229
Hasso
n
techni
que,
228
a
n
d
l
a
p
a
r
o
t
o
m
y
,
2
2
8

V
e
r
e
s

s
n
e
e
dl
e,
2
2
8
L
a
pb
a
n
d,
2
8
7,
2
8
7
Lap chole, 87
Laplaces law, 29
Lap
Nissen, for
GERD,
88, 277,
277, 279
L
ar
yn
ge
al
fr
ac
tu

r
e
,
2
4
6
L
a
r
y
n
g
o
m
a
l
a
c
i
a
,
5
3
3
Laryngotra
cheobronc
hitis. See
Croup
Larynx
a
n
a
t
o
m

y
o
f
,
6
2
0
f
u
n
c
t
i
o
n
s
o
f
,
6
2
9
malignant lesions of,
623
LE arterial
insu ciency
ulcer, 200 Le
lateral
decubitus,
78, 78
L
e

r
e
n
a
l
t
u
m
o
r
,
8
0
0
L
e
v
a
g
u
s
n
e
r
v
e
,
1
0
6

LeggCalvPerthes
disease,
737
Leriches
syndrome,
33,
505,
798 Lethal
triad, 248
Lichtenst
ein
herniorrh
aphy, 83
Lichtenst
ein
procedure
, 219
Lidocaine
, 195, 197
LiFraum
eni
syndro
me,
475
Ligam
ent of
Berry,
448
L
i
n
i
t
i
s

p
l
a
s
t
i
c
a
,
2
8
1
L
i
t
h
o
t
o
m
y
,
7
8
,
7
8
L
i
t
t
l
e

le
ag
ue
el
bo
w,
73
8
Li
ttr
e
s
he
rn
ia,
21
4,
54
6
Li
ve
r

3
6
1

a
m
e
b
i
c
,
3
5
9
3
6
0
a
b
s
c
e
s
s
e
s
o
f
,
3
5
8

bacterial, 359
h
yd
ati
d
liv
er
cys
t,
36
036
1
an
ato
my

of, 349353,
351
blood
supply
to, 205
enzymes, 352
h
a
m
a
r
t
o
m
a
,
3
5
5
h
e
m
o
b
i
l
i
a
,
3
6
1

t
u
m
o
r
s
o
f,
3
5
4
3
5
8
b
e
n
i
g
n
,
3
5
4
,
3
5
5
focal
nodular
hyperplasia,
356
hepatic
hemangiom
a, 356-357

hepatocellular
adenoma, 355
hepatocellular
carcinoma, 357-358
malignant, 354
Liver
disease,
signs/symptoms of, 352
Liver transplant, 358,
697-700
complicat
ion a er,
700
indication
s for, 697
living
donor
liver
transplantation (LDLT),
698, 699
piggyback
technique, 698,
698
rejection,
699
split liver
transplant,
699
test
for
compatibilit
y, 698
Lobular carcinoma in situ (LCIS),
419, 419-420 Local anesthesia,
193
Local anesthetic
toxicity,
198
Locked knee,
723
Longitudinal
fracture, 713
Loop

colosto
my, 289,
289
Low anterior
resection
(LAR),
84
Lower
GI
bleeding, 339342
Low molecular weight
heparin (LMWH), 136
Ludwig angina, 618
Lumbar disc
herniation,
754-755
Lumbar
hernia, 215
Lumpectom
y
and
radiation, 89
Lung cancer,
636-642
br
ain
me
tas
tas
is,
64
1
dia
gn
osi
s
of,
63
7
non-

small cell,
640, 641
signs/sym
ptoms,
636
surgery
for,
contraindications
to,
641 TNM staging for,
638-640
t
y
p
e
s
,
6
3
8
L
u
n
g
s
abscess of, 645
carcinoid
tumor, 643644
hemoptysis,
645-646
lung cancer, 636-642
pulmonary
sequestration, 644
solitary pulmonary
nodules, 642-643
Lung transplant, 704-705
Lymphoma,

475476,
631
GI,
477
Lynchs
syndrome,
314
Lysis of
adhesions
(LOA), 87

Macklers triad, 273


Mafenide acetate
(Sulfamylon), 256
Maintenance
uids, 114-116
adult, 115
a
er
lap
aro
to
my
,
11
6
bol
us
uid
s,
11
511
6

836 Index
Macklers
triad
(Continued)
uid status,
assessment
of, 115
isotonic
uids, 115,
116
and
minimal
urine
output, 115
pediatric,
115, 527
4/2/1 rule,
114
100/50/20
rule, 114
sugar to,
addition of,
115
trauma
resuscitation
uid, 116
Male breast
cancer, 420421
Malignant
hyperthermia, 196197
Malignant otitis
externa (MOE), 601-

602 Malignant tumor,


200
Mallea
ble
retract
or, 53,
53
Mallet
nger,
594
Mallory-Weiss
syndrome,
33,
270-271 Maloney
dilator, 658
Malrotation
and
midgut volvulus,
557,
557-558
Mam
mary
milk
line,
406
Mam
mopl
asty,
584
Mammotome
biopsy, 411
Mandible
fractures, 238,
626, 626
Manometry,
654, 655

Marginal
ulcer, 200,
266
Marjolins
ulcer, 199,
478, 727
Marshall
test, 780
Massive
hemoptysi
s, 645-646
Massive
hemothora
x, 234-235
Mastectom
y, simple,
88
Mastitis, 423
MAS
T
trous
ers,
250
Matt
ox
mane
uver,
85,
85
May
o
sciss
ors,
46
McBurney incision, 300
McBurneys
point, 29, 107,
299,
299

McBurneys
sign, 29
McM
urray
s sign,
723
McVa
y
hernio
rrhaph
y, 83
McVa
y
proce
dure,
219
Mean arterial
pressure
(MAP),
662
Mebendazole,
361
Mechanical ventilation,
in surgical intensive
care, 495-499
Meckels
diverticulum,
295, 295-297
pediatric, 565566
c
o
m
p
l
i
c
a
t

i
o
n
s
,
5
6
6
r
u
l
e
o
f
2
s
,
5
6
6
Meckels
diverticulum
rule of 2s, 29
Meckels scan,
297, 566
Mecon
ium
ileus,
551552
Mecon
ium
periton

itis,
552
Meconium plug
syndrome, 552-553
Median arcuate ligament
syndrome, 517-518
Median nerve, 591, 591
Me
dia
sti
niti
s,
65
065
1
acu
te,
65
065
1
chronic, 651

Mediastinum
a
n
t
e
r
o
s
u
p
e
r
i
o
r
,
6
4
6
l
y
m
p
h
o
m
a
,
6
5
0
me
dia
sti
nit

is,
65
065
1
mi
ddl
e,
64
6
posterior, 646
primary
tumors,
647-650
neurogenic
tumors,
649-650
t
e
r
a
t
o
m
a
s
,
6
4
9
t
h
y
m

o
m
a
,
6
4
7
6
4
9
superior vena cava
syndrome, 651-652
Medications, surgical.
See Surgical
medications
Mediolateral oblique
(MLO) mammogram,
193, 193
Medu
llobla
stom
a,
750
Mela
noma
, 477,
480484
a
cr
al
le
nt
ig
in
o

u
s,
4
8
1
A
J
C
C
st
a
gi
n
g,
4
8
2
a
m
el
a
n
ot
ic
,
4
8
1
ch
ar
ac
te
ri
sti
cs
of
,
4

8
0
di
gi
ta
l,
4
8
3
elective lymph
node dissection,
483 histologic
types, 481
le
nti
go
m
ali
gn
a,
48
1
me
tas
tas
is
of,
48
2,
48
4
no
du
lar
,
48
1
p

r
o
g
n
o
s
i
s
f
o
r
,
4
8
3
r
i
s
k
f
a
c
t
o
r
s
f
o
r
,
4

8
0
sentin
el
node
biops
y,
483
signs
of, 24
sites of, 480-481
super
cial
sprea
ding,
481
treat
ment
of,
484
Malignan
t
hyperther
mia, 803
Malrotati
on, 799
MELD score, 353, 698
Mendelsons
syndrome, 33,
146 Mnires
disease, 610-611,
630, 787
Meningiomas,
749, 789
Meningitis,
postneurosurg
ery,
760
Mesalamine,

348
Mesenteric
ischemia, 139, 516517,
799
acute, 516-517
chronic, 516
Met
abol
ic
acid
osis,
111
Met
abol
ic
alka
losis
,
111
Metach
ronous
tumors,
201
Metalli
c skin
staples,
58
Metaph
ysis,
710
Methimazole, 458
Metoclopr
amide
(Reglan),
138
Metronidaz
ole
(Flagyl),

134
Metyrapon
e, 429
Metz
enba
um
sciss
ors,
46
Micr
ovign

ettes,
801
Middle
lobe
syndrome
, 645
Middle
meningea
l artery,
742

Index 837
Midface
fractures,
626-628,
627
Midgut,
location
of, 106
Mik
ulicz
s
synd
rom
e,
629
Milk
leg,
525
Millard-Gubler syndrome,
760
Minimally invasive
direct
coronary
artery
bypass
(MIDCAB), 667
Minut
e
ventil
ation,
495
Mirizz
is
syndro
me,

3
3
,
3
8
7
M
i
s
o
p
r
o
s
t
o
l
(
C
y
t
o
t
e
c
),
1
3
8
M
it
o
t
a

ne,
429
Mitral
regurgitation
(MR), 672
Mitral stenosis
(MS), 671, 671672, 796
Mittelschmerz, 29,
304
Modi ed neck dissection,
625
Modi ed radical
mastectomy, 89, 413,
414 Mohs surgery,
479
Mondors
disease,
421, 685
MonroeKelly
hypothesi
s, 740
Montegg
ia
fracture,
716
M
or
bi
d
o
b
es
it
y,
2
8

5
M
o
r
g
a
g
n
i

s
h
e
r
n
i
a
,
2
1
6
M
o
r
p
h
i
n
e
,
1
9
6

M
o
r
r
i
s
o
n

s
p
o
u
c
h
,
1
0
6
M
o
ti
o
n
p
a
i
n
,
2
0
6
Mucoepidermoid
carcinoma, 620
Mucosal-associated
lymphoproliferativ
e
tissue

(MALTo
ma), 284285
Mucous
stula, 84,
288
Mucous
neck cells,
202, 275
Multiple
endocrine
neoplasia
(MEN)
s
y
n
d
r
o
m
e
,
4
4
3
4
4
6
t
y
p
e
I
,

44
3444
t
y
p
e
I
I
a
,
4
4
4
4
4
5
t
y
p
e
I
I
b
,
4
4
5
4
4

6
M
u
n
c
h
a
u
s
e
n
s
y
n
d
r
o
m
e
,
3
4
M
u
r
p
h
y

s
s
i
g
n
,
2
9

, 379,
810
Mycophenolate
mofetil
(MMF),
691
Myelomeningo
cele, 758
Myocardial
infarction (MI), 153154,
799,
803
M
y
o
b
r
o
b
l
a
s
t
s
,
5
8
5
M
y
o
g
l
o
b

i
n
u
r
i
a
,
2
5
1

N
N
a
f
c
i
l
l
i
n
(
N
a
f
c
i
l
)
,
1
3
4
N

a
l
o
x
o
n
e
,
1
4
0
Nar
coti
cs,
139
140
Nas
oga
stri
c
tub
es
(N
GT)
clogged, 102
ex
ce
ss
iv
e
dr
ai
na
ge
,
1

0
3
a
n
d
f
e
e
d
i
n
g
t
u
b
e
,
1
0
3
a
n
d
h
y
p
o
k
a
l
e
m

ia
,
1
1
2
pl
ac
e
m
en
t
of
,
1
0
1
proc
edur
es,
6971,
6971
rem
oval
of,
101
u
n
c
l
o
g
g
i
n
g
,

1
0
2
w
o
r
k
i
n
g
o
f
,
1
0
2

Neck injuries, penetrating,


244-245, 245 Neck mass,
624-625, 631
NEC (necrotizing
enterocolitis), 800
Necrotizing enterocolitis
(NEC), 567-568 Necrotizing
fasciitis, 177-178
Necrotizing migratory
erythema, 438 Needledriver, 44
Needle loc biopsy
(NLB), 411 Negative
pressure wound therapy,
94 Nelsons syndrome,
429
Neonatal bowel
obstruction, 543
Neonatal small le colon
syndrome. See
Meconium
plug
syndrome
Neuhausers sign, 551
Neuroblastoma,
575, 575-578
anatomic
locations, 575
staging
and
treatment,
576577
symptoms/signs,
575-576
Neurogenic
shock, 171-172
Neurogenic
tumors,
649650
Neurosurgery,

738-760
head
trauma,
738744
cerebra
l
contusi
on, 744
epidural
hematoma,
742-743
GCS
scoring
system, 739
skull fracture, 744
subdural
hematoma, 743,
743
traumatic
subarachnoid
hemorrhage,
744
pediatric, 757-760
cranios
ynostos
is, 759760
hydroce
phalus,
757758
spinal
dysraphism/neural
tube
defects,
758-759
spinal

cord trauma,
745-747 spine,
754-757
cervical disc
disease, 755-756
lumbar disc
herniation, 754-755
spinal epidural
abscess, 756-757
tumors, 747-751
brain, 748
cerebellar
astrocytomas,
750
in
children, 748
glioma, 748-749
medullo
blastoma
,
750
meningi
omas,
749
pituitary,
750-751,
751
vascular,
751-753
intracerebral
hemorrhage, 753

subarachnoid
hemorrhage, 751-753
NGT. See Nasogastric
tubes (NGT)
Nightstick fracture,
716, 726
Nissen fundoplication,
87
Nitrogly
cerine
(NTG),
491
Nitrous
oxide,
195
Nmy
c
onc
oge
ne,
578
No
ctu
ria,
76
3
Noncommunicating hydrocele,
762, 762

838 Index
Nondepolarizing muscle blockers,
732-738
197
disease, 737
Nonrebreather mask, 162, 162
congenital hip dislocation, 735-736, 736
Non-union, 710
Calv-Perthes disease, 737
Norepinephrine (NE), 491
league elbow, 738
Normal saline (NS), 113
nursemaids elbow, 737
Nosocomial infection, 173
Schlatters disease, 738
Nursemaids elbow, 737
Harris classi cation, 732-734,
Nuss procedure, 536
734
Nutcracker esophagus, 655
737
Nutrition
capital femoral epiphysis, 737, 737
pediatric, 527-528
abbreviations, 706-707
surgical, 163-167
725
Nystatin, 135
717-721

pediatrics,
Blounts

Legglittle

OsgoodSalter733,
scoliosis,
slipped
related
rotator cu ,
trauma,
compart

ment syndrome, 719-720

femoral

fractures, 718
Oblique fracture, 712, 712
principles, 710
Obliterative bronchiolitis (OB), 705
fracture, 717, 718
Obstructive jaundice, 375
peripheral nerve injury, 721
Obturator hernia, 215
fractures, 719
Obturator sign, 30, 30, 298
727-729
Octreotide, 138, 308
sarcoma, 730-731
Octreotide scan, 441
osteosarcoma, 729-730
Odontoid fractures, 747
686
Odynophagia, 597
736, 736
O pump coronary artery bypass (OPCAB),
Schlatters disease, 738
667
Osteochondroma, 634, 730, 738
Ogilvies syndrome, 34, 812
726-727
OKT3, 691
Osteosarcoma, 634, 729-730
Oliguria, 155
710
Omphalocele, 558-560, 559, 561
288-290
and gastroschisis, 562
giant defect, 560
600-601, 629, 631, 632

general
open

tibial
tumors,
Ewings

Orthotopic,
Ortolanis sign,
Osgood-

Osteomyelitis,

Osteotomy,
Ostomies,
Otalgia, 597
Otitis externa,

medium defect, 559


604-606, 629
pentalogy of Cantrell, 560
small defect, 559
606
Oncology, surgical, 200-201
incontinence, 780-781
Ondansetron (Zofran), 138

Otitis media,
Otorrhea, 597
Otosclerosis,
Over ow

Overwhelming postsplenectomy sepsis


Open-angle glaucoma, 790
(OPSS), 469
Open reduction, 708
495
Orchidopexy, 580
induced hypoventilation, 161
Orchiopexy, 781
cannula, 162, 162-163
Orchitis, 763
Oxyhemoglobin dissociation curve, 129
Organ of Zuckerkandl, 434
Ortho bowel routine (OBR), 147
Orthopaedic surgery, 706-738
blood cells (PRBCs), 126, 127,
achilles tendon rupture, 724, 724
arthritis, 731-732
788
dislocations
elbow, 722
420
hip, 722
Schroetter disease, 633
knee, 722
abdomen, 207
shoulder, 721
tumor, 637

Oxygenation,
OxygenOxygen nasal

Packed red
128
Pagets disease,
of anus, 331
of breast,
Paget-von
Palpation,
Pancoast

fractures, 711-717
infections
387-404
osteomyelitis, 726-727
395-396
septic arthritis, 727
387, 387-388
knee, 722-724
403, 572

Pancolitis, 349
Pancreas,
abscess of,
anatomy of,
annular,

Index 839
pancreatic
carcinom
a,
399403
pancreatic
necrosis,
396
pancr
eatitis,
388-395
pseudoc
yst,
396,
396-399
Pancrea
s
transpla
nt, 700702
compl
icatio
ns a
er,
701
hetero
topic
place
ment,
701
indica

t
i
o
n
s
f
o
r,
7
0
0
p
a
r
a
t
o
p
i
c
p
l
a
c
e
m
e
n
t
,
7
0

1
reje
ctio
n,
701
702
tests for
compatibi
lity, 700
Pancreati
c abscess,
395-396
Pancreatic
, daily
secretion,
113
Pancreati
c
divisum,
403
Pancreaticocutaneous
stula, 311, 311-312
Pancreaticoduodenect
omy, 402
P
a
n
c
r
e
a
t
i
t
i
s

a
c
u
t
e
,
3
8
8
3
9
2
c
h
r
o
n
i
c
,
3
9
2
3
9
4
g
a
l
l

s
t
o
n
e
,
3
9
4
3
9
5
h
e
m
o
r
r
h
a
g
i
c
,
3
9
5
Pancreatitis,
postoperative,
146-147
Pannus, 732
Pantaloon hernia, 215
Papillary

adenocar
cinoma,
452-453
Papillary
necrosis,
783, 786
Papilla
ry
thyroi
d
carcin
oma,
800
Parado
xical
embol
us, 526
Parad
oxic
alkalot
ic
acidur
ia, 112
Parane
oplasti
c
syndro
me,
201
Parane
oplasti
c
syndro
mes,
637
Parap
himosi
s, 764

Parastomal hernia, 215


Parathyroid
carcinoma, 465466, 800
Parathyroidectomy,
complications of,
466 Parathyroid
glands, 460-466
anatomy of, 460-461
hyperparat
hyroidism,
462-465
parathyroid
carcinoma,
465-466
physiology
of, 461
Parathyroid
hormone
(PTH), 461
Parathyroma
tosis, 466
Paratopic, 687
P
a
r
k
l
a
n
d
f
o
r
m
u
l
a

,
2
5
4
P
a
r
o
n
y
c
h
i
a
,
5
9
3
P
a
r
o
t
i
d
g
l
a
n
d
,
6
3

P
a
r
o
t
i
d

P
a
s
s
a
r
o

s
w
e
l
l
i
n
g
,
6
2
9
P
ar
ot
it
is
,
1
8
0,
6
3
2,
8
0

t
r
i
a
n
g
l
e
,
4
4
1
Patent
ductus
arteriosus
(PDA),
675,
675-676
P
a
t
e
n

t
u
r
a
c
h
u
s
,
5
8
2
P
a
t
h
o
g
n
o
m
o
n
i
c
s
,
7
9
9
Patient-controlled
analgesia (PCA),
198 PDS sutures,
54
Pean
ut
aspira

t
i
o
n
,
5
3
4
P
e
c
t
u
s
c
a
r
i
n
a
t
u
m
,
5
3
6
,
5
3
6
P
e
c
t
u

s
defor
mity,
535

Pectus
excavatum,
535, 535-536
Pediatric,
blood
volumes, 528
Pediatric
neurosurgery,
757-760
cranios
ynostosi
s, 759760
hydroce
phalus,
757-758
spinal
dysraphism/neural
tube
defects,
758-759
Pediatri
c
surgery,
527-583
abdome
n, 543
anorectal
malformations,
553-554
appendicitis,
562-564
aspirated
foreign body,
534-535
biliary tract,
568-572

blood
volum
es,
528
chest,
535541
congenital
pyloric
stenosis,
549-550
duodenal atresia, 550551
gastrosc
hisis,
560-562
GERD,
548
Hirschsprung
s
disease,
554-557
inguinal
hernia,
543-547
intussusception,
564-565
IV uids and
nutrition, 527-528
malrotation and
midgut volvulus,
557-558
Meckels
diverticulum, 565566
meconium
ileus, 551-552
meconium peritonitis, 552
meconium
plug
syndrome,
552-553
neck, 531-534
necrotizing
enterocolitis, 567568
omphalocele,

558-560
pulmonary
sequestratio
n,
542
trauma,
570-580
tum
ors,
573579
umbili
cal
hernia,
548
Pelvic
fractur
es,
240,
246
Pembe
rtons
sign,
458
Penros
e
drain,
95
P
e
p
s
i
n
,
2
0

2,
27
5
Pe
pti
c
ulc
er,
19
9
Peptic ulcer disease
(PUD),
260-261
Percentages, surgical,
38-39
Perc
nephrosto
my, 761
Percocet,
139
Percussion, abdomen, 207
Percutaneous
endoscopic
gastrostomy
(PEG),
91, 91
Percutaneous
renal

transluminal angioplasty
(PRTA), 523
Percutaneous
transhepatic
cholangiogram
(PTC), 373, 373
Perforated
peptic ulcer,
266-267
Perforated
viscus, 800
Periana
l warts,
336337
Periarti
cular
fracture
, 714
Peripheral
intravenous (IV)
catheter,
placement
of, 66, 66

840 Index
Peripheral
vascular
disease (PVD), 501-507
arterial anatomy, 501
bedsid
e
manag
ement
, 503
dry
gangr
ene,
506
FEMDISTAL
bypass, 506,
506 FEMPOP
bypass,
505, 506
intermitte
nt
claudicati
on, 502
medical
treatment,
504
rest pain, 502
r
i
s
k
o

f
li
m
b
l
o
s
s,
5
0
4
s
i
g
n
s
o
f,
5
0
3
in
si
tu
v
ei
n
g
ra
,
5
0
6
s

y
m
pt
o
m
s
o
f,
5
0
2
treatme
nt
options,
504,
505 wet
gangren
e, 507
Perir
ectal
absce
ss,
335
Perit
oneal
absce
ss,
177
Perit
onsill
ar
absce
ss,
617
Petersens
hernia, 214,
214,
287
Petits

hernia, 215
Peutz-Jeghers
syndrome, 34, 322323 Peyer patches,
205
Peyronie
s disease,
764, 783
Pharyng
otonsillit
is, 616617
Phenoxy
benzami
ne, 433
Pheochromocy
toma, 430-434,
806
diagnostic
tests in, 431
di
erenti
al
diagn
osis,
431
131
IMIBG
scan,
432
preoperative/me
dical treatment,
433 rule of 10s,
30
rule of 10s, 433
sign
s/sy
mpt

oms
of,
430
sites
for,
432,
432
sur
gic
al
tre
at
me
nt,
43
3
sy
mp
to
ms
tria
d,
30
Phimosis, 764
Phlegmasia
cerulea
dolens, 525
Physiologic
jaundice,
568
Ph
ysi
ol
og
ic
PE
EP
,

49
7
Ph
ysi
s,
71
0
Picae circulares, 290
PierreRobin
syndrom
e, 581
Pilon
fracture,
716, 716
Pitu
itar
y
ade
no
ma,
806
Pla
ntar
exi
on,
707
Plas
map
here
sis,
471
Plast
ic
surg
ery,
583589

a
p
s
,
5
8
7
5
8
9
s
k
i
n
g
r
a
s
,
5
8
7
wou
nd
healing
, 584587
Platelet
s, 126
Plavix, 128
Pleomo

rphic
adenom
a, 619
Pleural
e usion,
635
Plicae circulares, 108
Plug and patch
hernia repair, 84,
219 Plummers
disease, 451, 458

PlummerVinson
syndrome, 34
Pneumatic
equalization
tube,
605
Pneumatosis
intestinalis,
191
Pneumaturia, 763
Pneumot
horax,
232-233,
801
Polands
syndrome,
582
Polydactyly, 584
Polyposis syndromes
diverticular
disease of colon,
323-329 familial
polyposis, 321
Gardners
syndrome, 321322,
322
Peutz-Jeghers
syndrome, 322323
Polysporin, 256
Polyuria, 763
Poole sucker, 47, 47
Popliteal
artery
aneurysm, 524, 524525 Pop-o suture,
61
Porcelain
gallbladder

, 384, 387
Port-ACath, 104
Portal
hypertension,
362-368, 798
clinical
ndings in, 364,
364
c
o
m
p
l
i
c
a
t
i
o
n
o
f
,
3
6
5
e
t
i
o
l
o
g
y

o
f
,
3
6
3
patho
physi
ology
of,
363
relate
d
anato
my,
362363
rule
of 2/3
of,
365
s
h
u
n
t
s
f
o
r
,
3
6
7
3
6
8

T
I
P
S
p
r
o
c
e
d
u
r
e
,
3
6
7
Portal venous system,
anatomy of, 362, 362
Positive end expiration
pressure (PEEP),
497-498
Posterior cord
syndrome,
746,
746
Posthitis, 761
Postpericardiotomy
syndrome, 665
Post-transplant
lymphoproliferative
isease
(PTLD), 706
Postvago
tomy
diarrhea,
149

Postvoid
residual
(PVR),
764 Potts
disease,
717, 786
P
o
t
t

s
f
r
a
c
t
u
r
e
,
7
1
7
P
o
t
t

s
s
c
i
s

s
o
r
s
,
4
9
P
o
u
c
h
i
t
i
s
,
3
4
9
Po
uc
h
of
Do
ugl
as,
10
8
Po
up
art
s
lig
am

ent
,
83
PRBCs. See Packed red
blood cells (PRBCs)
Prehns sign, 763
Preload, 491, 662
Preop
erativ
e
issues,
80-81
Pressu
re
suppo
rt, 497
Priapis
m, 747,
764,
777-778
Primary
survey,
230-238
a
i
r
w
a
y
,
2
3
0
2
3
1

b
r
e
a
t
h
i
n
g
,
2
3
2
2
3
5
c
i
r
c
u
l
a
t
i
o
n
,
2
3
5
2
3

6
d
i
s
a
b
i
l
i
t
y
,
2

3
6
2
3
7
exposure
and
environment,
238 Primary
wound
closure, 93
Pringle maneuver, 89

Index 841
Procedures
common, 66-69
nasogastric tube, 69-73
Prolactinoma,
421, 750-751,
751,
788
Promethazine
(Phenergan),
138
Promethazineinduced
dystonia, 139
Pronation, 707
Prone position, 78
Properitoneal hernia, 216
Prophylactic
antibiotics, 173,
179-180
Propylthiouracil
(PTU), 458
Proscar, 772
Prostate
cancer, 769771,
772,
781
AJCC
staging, 770
androgen
ablation
therapy,
770
LHRH
agonists

in,
771
r
a
d
i
c
a
l
p
r
o
s
t
a
t
e
c
t
o
m
y
,
7
7
0
s
i
t
e
s

of
meta
stasis
, 769
symptoms, 769
Protamine IV, 136
Protonpump
inhibitor
(PPI), 138
Pseudocyst,
pancreatic,
396-399
Pseudogout,
732
Pseudoh
ermaphr
oditism,
763
Pseudoh
yperkale
mia, 118
Pseudohyponatremia, 121
Pseudomembra
nous
colitis,
159,
179
Pseudomonas,
601
Psoas sign, 30, 298
PT (Prothrombin time),
126
PTT
(Partial
thromboplastin
time),
126
Puestow
procedure, 86, 86,
403
Pulmonary capillary

wedge pressure
(PCWP),
494-495
Pulmonary
embolism (PE),
142-145,
801
Pulmonary
sequestration,
542, 542, 644
Pulmonary
vascular
resistance
(PVR),
662
Pulse volume
recordings
(PVRs), 503
Pursestring suture,
58, 58
Pyloric
stenosis,
congenital,
549, 549-550
Pyloruspreserving
Whipple, 402
Pyrosis, 276
Pyuria, 763

Quinsys abscess, 787

R
R
a
c
c
o
o

n
e
y
e
s
,
3
0
,
3
0
R
a
c
c
o
o
n

s
s
i
g
n
,
8
0
9
Radial
arterial
blood gas (ABG),
72, 72 Radial
nerve, 591, 591

R
ad
ic
al
ne
ck
di
ss
ec
ti
on
,
62
5
R
ad
io
lo
gy
,
18
619
3
a
b
d
o
m
e
n
,
1
8
8
1

9
3
c
h
e
s
t
,
1
8
6
1
8
8
R
ad
io
gr
ap
hi
c
te
st
s,
8
0
6
R
all
y
pa
ck
,
18
5

Ramsay-Hunt
syndrome, 631
Ranitidine
(Zantac), 138,
690
Ransons
criteria, 391
Ranula, 630
Rapid-sequence anesthesia
induction,
194
Rapidshallow breathing index, 498
Ray amputation, 507
Raynauds
phenomenon, 526,
796
Rebound
tenderness, 206
Rectal biopsy, 555
Rectal bleeding,
in infants, 582
Rectal
polyps,
319-320
Rectum
blood
supply to,
313
venous
drainage
to, 313
Rectus
sheath
hematoma,
790
Recurrent
laryngeal nerves,
448 RED reaction
syndrome, 34
Reduction, 708
Reed-Sternberg cells, 475
Refeeding syndrome,
34,
166,
798
Referred pain, 210-

211
Refractory
pancreatic
stula,
311-312 Regional
anesthesia, 193
Relaxing incision, 222
Renal artery stenosis, 522-523
Renal cell carcinoma
(RCC), 766-767, 782,
800
Renal
failure,
postoperative,
155-156
Renal
vein renin ratio
(RVRR), 523
Rendu-Osler-Weber
(ROW) syndrome, 34
Replogle tube, 582
Respirat
ory
acidosis
, 112
Respirat
ory
alkalosi
s, 112
Respira
tory
care,
161163
incentive
spirometry,
161, 161
nonrebreath
er
mask,
162, 162
oxygen-induced

hypoventilation,
161
oxygen nasal cannula,
162,
162-163
supplemental
oxygen,
161
Respiratory failure,
postoperative,
141-142
Respiratory quotient (RQ),
163-164, 494 Retention
suture, 61, 61
Retino
blasto
ma,
791
Retract
or, 5153
ar
m
y
n
a
v
y,
5
1
B
o
o
k
w
al
te
r,
5
2

D
e
a
v
e
r
,
5
1
m
a
l
l
e
a
b
l
e
,
5
3
,
5
3
R
i
c
h
a
r
d
s
o
n

, 52
sw
eet
hea
rt,
51
Wei
tlan
er,
52
Retrograde pyelogram, 761

Retrograde
urethrogram
(RUG),
243,
761
Retroperitoneal,
GI
tract, 105
Reversed
jejunal
interposition
loop,
149
Reverse
Trendelenburg
position, 79

842 Index
Reversible ischemic neurologic de cit
(RIND), 518
arthritis, 727
Reynolds pentad, 31, 381, 810
169-170, 172
Rhabdomyosarcoma, 578, 631
304, 306
Rhinitis
media, 629
acute, 612
scan, 462
allergic, 612-613
334
Rhinoplasty, 584
725
Rib, blood vessels on, 106
172
Richardson retractor, 52

Sepsis, 172
Septic
Septic shock,
Serotonin,
Serous otitis
Sestamibi
Seton, 334,
Shin splints,
Shock, 167-

anaphylactic, 172
Richters hernia, 216
cardiogenic, 170-171
Riedels thyroiditis, 460
hypovolemic, 167-169
Right-angle clamp, 44
171-172
Right lateral decubitus, 78
170
Rinne test, 608
Rocky-Davis incision, 300
syndrome, 147
Ross procedure, 673

neurogenic,
septic, 169signs of, 167
Short bowel
Short-gut

syndrome, 34
Rotator cu , 725
breath, 160
Rotters lymph nodes, 105
herniorrhaphy, 84
Rotters nodes, 406
procedure, 219
Roux-en-Y limb, 83, 83
Rovsings sign, 31, 298
portocaval shunt, 368

367
Sacral sparing, 745
portocaval shunt, 368
Saddle embolus, 144, 144
mesocaval H-gra
Saints triad, 31
portocaval H-gra
Saline infusion test, 435
Saliva, daily secretion, 113
fraction, 492, 493
Salivary gland stones, 629
152
Salivary gland tumors, 619-620, 630, 631
volvulus, 327, 327-328
Santorini duct, pancreas, 388
561
Scalpel blades, 51
31, 224
Sciatica, 755
sulfadiazine (Silvadene), 256
Sciatic hernia, 215
mastectomy, 88
Sclerosing cholangitis, 382-383
630
Scoliosis, 737
Scrotal blue dot sign, 783

Shortness of
Shouldice
Shouldice
Shunt
end-to-side
partial, 367
selective,
side-to-side
synthetic
, 368
synthetic
, 368
Warren, 367
Shunt
SIADH, 151Sigmoid
Silastic silo,
Silk glove sign,
Silver
Simple
Sinus cancer,
Sinusitis
acute, 613

Scrotal mass, 765


614
Scrotum, anatomy of, 765
syndrome, 34, 444
Seagessers sign, 468
Seatbelt sign, 239
Josephs sign, 31, 281
Sebaceous cyst, 479
procedure, 532
Seborrheic keratosis, 479
Secondary survey, 238-240
477-479
Secondary wound closure, 93
carcinoma, 478-479
Secretin, 203
cell carcinoma, 477-478
Segmental fracture, 712, 712
744
Seizures
resection, 644
a er head trauma, 742
214, 214
medications for, 139
femoral epiphysis, 737, 737
Seldinger technique, 85
Selective neck dissection, 626
290-291
Sengstaken-Blakemore balloon, 272, 366
secretion, 113
Sensorineural hearing loss, 608-609
diverticulum, 295-297
Sentinel loops, 190
291-294
Sentinel node biopsy, 415
of, 107
Sentinel pile, 335
294-295

chronic,
Sipples
Sirolimus, 691
Sister Mary
Sistrunk
Sitz bath, 334
Skin lesions,
basal cell
squamous
Skull fractures,
Sleeve
Sliding hernia,
Slipped capital
Small bowel
anatomy,
daily
Meckels
obstruction,
submucosa
tumors,

Index 843
Small bowel obstruction (SBO), 188
thickness skin gra
584, 587
postoperative, 147
Spontaneous pneumothorax, 635-636
Smiths fracture, 715
sign, 756
Smoke inhalation, 253-254
cell carcinoma, 477-478
Smoking, 184
gastrostomy, 86
atherosclerosis and, 499
remover, 59, 67
and bladder cancer, 767
syndrome, 767
Buergers disease and, 526
duct, 599
in ammatory bowel disease and, 348
764
and pancreatic carcinoma, 399
Strips, placement of, 67, 67
SMV thrombosis, 797
135, 347
Soave procedure, 556, 556
Treves syndrome, 475
Sodium nitroprusside (SNP), 491
Stimulation Tests, 805
So tissue sarcomas, 472-475
AJCC staging of, 474
Connells, 60, 60
core biopsy, 474

Split
(STSG),

Spurlings
Squamous
Stamm
Staple
Stau ers
Stensens
Sterility,
SteriSteroids,
Stewart-

Stitch

horizontal mattress, 57, 57


excisional biopsy, 474
Lambert, 60, 60
incisional biopsy, 474
of, 67
limb-sparing surgery, 475
interrupted, 56
malignant types, 472-473
running, 57, 57
metastasis of, 473
subcuticular, 58, 58
pseudocapsule, 475
mattress, 56-57, 57
risk factors for, 472
abscess, 180
signs/symptoms of, 473
288
treatment of, 475
274-285
Solitary pulmonary nodule (SPN), 642-643
anatomy, 274-275
Somatostatin, 204, 366, 808
cancer, 279-284
Somatostatinoma, 404, 438-439
physiology, 275
Space of Retzius, 107, 763
volvulus, 285
Spermatic cord, 546
gastroesophageal re ux disease, 276-279
Spermatocele, 763
284
Sphincterotomy, 374
MALToma, 284-285

removal
simple
simple

vertical
Stitch
Stoma,
Stomach,

gastric
gastric
gastric

GIST,

Spigelian hernia, 214


fracture, 713
Spina bi da occulta, 758
gastritis, 270
Spinal anesthesia, 193
incontinence, 780-781
Spinal cord injury, 801
Stricturoplasty, 349
Spinal cord trauma, 745-747
533
Spinal epidural abscess, 756-757
volume (SV), 661
Spinal immobilization, 231

Stress
Stress
Stress

Stridor,
Stroke

Subarachnoid hemorrhage (SAH), 744,


Spinal shock, 745
751-753
Spiral fracture, 713, 713
steal syndrome, 521, 521-522
Spiral valves of Heister, 369
Subcuticular stitch, 58, 58
Spironolactone, 435
hematoma, 743, 743
Spleen
Subluxation, 709
delayed splenic rupture, 467
gastrectomy, 282, 282
functions of, 467
hematoma, 595
ruptured/injured, 467, 468
Succinylcholine, 195, 197
and splenectomy, 466-471
chest wound, 232
splenic artery, 466, 467

Subclavian

Subdural

Subtotal
Subungual

Sucking
Sucralfate

(Carafate), 137
venous drainage of, 467
Sulfasalazine, 347
Splenectomy
pump, 102
and complications, 469
Superinfection, 173
indications for, 468-469
laryngeal nerve, 448
Splenic artery, 466, 467
mesenteric artery (SMA), 292, 517
aneurysm, 524
vena cava (SVC) syndrome, 34,
Splenic vein thrombosis, 470

Sump

Superior
Superior
Superior

651-652
Splenomegaly, 470, 471
Supination, 707
Splenorrhaphy, 468
position, 78

Supine

844 Index
Suppurative cholangitis, 382
commons, 35-37
Suppurative hidradenitis, 178-179
notes, 8-14
Supraglottic lesions, 623-624
nutrition, 163-167
Suprapubic catheter, 761
percentages, 38-39
Suprapubic pain, 210
positions, 78-79
Surgeons knot, 61, 61
decubitus, 78, 78
Surgery clerkship, preparation for, 1-8
78, 78
Surgical anatomy, 105-109
patient, 79
Surgical complications
abdominal compartment syndrome, 157-158
Trendelenburg, 79
aspiration pneumonia, 145-146
decubitus, 78
atelectasis, 141
cardiovascular, 152-153
Trendelenburg, 79, 79
cerebrovascular accident, 154-155
prophylaxis, 184-186
myocardial infarction, 153-154
infection, 174-177
DIC, 156-157
syndromes, 32-35
endocrine
addisonian crisis, 150-151

Surgical most
Surgical
Surgical
Surgical
Surgical
le lateral
lithotomy,
pregnant
prone, 78
reverse
right lateral
supine, 78

Surgical
Surgical site
Surgical
Surgicel, 132
Suture ligature,

60, 60
diabetes insipidus, 152
diabetic ketoacidosis, 150
53
SIADH, 151-152
54
gastrointestinal, 146
for, 53
blind loop syndrome, 148
nonabsorbable, 53
constipation, 147
dumping syndrome, 149
gastric dilatation, 146
61, 61
jaundice, 148
for, 56-61
pancreatitis, 146-147
postvagotomy diarrhea, 149
catheter, 494, 495
short bowel syndrome, 147
retractor, 51
small bowel obstruction (SBO)/ileus, 147
procedure, 555, 555
pseudomembranous colitis, 159
ear. See Otitis externa
pulmonary embolism, 142-145
ophthalmia, 250, 786
renal failure, 155-156
IMV (SIMV), 496
respiratory failure, 141-142
tumors, 201
urinary retention, 158
584
wound hematoma, 158
inappropriate antidiuretic
wound infection, 158

Sutures
absorbable,
catgut, 53materials

PDS, 54
pop-o , 61
retention,
techniques
Vicryl, 54
Swan-Ganz
Sweetheart
Swenson
Swimmers
Sympathetic
Synchronous
Synchronous
Syndactyly,
Syndrome of

hormone (SIADH), 34
wound seroma, 159
Surgical hemostasis, 131-132
760
Surgical history, 39-41
ammatory response syndrome
Surgical infection. See Infection
172
Surgical instruments, 41-50
vascular resistance (SVR),
Surgical intensive care, 485-499
acute renal failure, lab values, 488-490
drugs, 490-491
hemodynamic monitoring, 494-495
160
ICU basics, 485-486
691
ICU formulas and terms, 486-488
407
ICU physiology, 491-494
arteritis, 526
mechanical ventilation, 495-499
415, 416, 418, 808
Surgical medications, 133-140
needle, 56, 56
antibiotics, 133-135
procedure, inguinal hernia repair,
heparin, 136
narcotics, 139-140
(thoracoabdominal) stapler, 47
other agents, 137-139
catheter, 105
steroids, 135
725
warfarin, 136-137
593

Synthroid, 449
Syringomyelia,
Systemic in
(SIRS),
Systemic
662

Tachycardia,
Tacrolimus,
Tail of Spence,
Takayasus
Tamoxifen,
Taper-point
TAPP
219
TA
Tenckho
Tennis elbow,
Tenosynovitis,

Index 845
Tension pneumothorax,
232
TEPA
procedure,
inguinal hernia repair,
220 Teratomas, 649
Testicular
appendage
torsion, 785
Testicular
cancer, 773776,
785
Testicular
torsion, 776777
Tetanus, 182
Tetralog
y
of
fallot
(TOF),
676
irdnerve
palsy,
760
i
r
d
s
p
a
c
i

n
g
,
1
1
1
1
1
3
o
m
p
s
o
n

s
t
e
s
t
,
7
2
4
o
r
a
c

ic
ao
rti
c
inj
ur
y,
78
5
or
aci
c
du
ct,
10
8
yroid
follicular
carcinom
a, 787
oracic
great
vessel
injury,
239
oracic outlet syndrome
(TOS), 34,
632-634
a
r
t
e
r
i
a
l
,

6
3
4
c
a
u
s
e
s
o
f
,
6
3
2
neurogenic, 633
s
y
m
p
t
o
m
s
/
s
i
g
n
s
,
6
3

2633
veno
us,
633
or
aci
c
sur
ge
ry,
63
266
0
ch
est
wa
ll
tu
m
or
s,
63
4
es
op
ha
gu
s,
65
266
0
a
c
h
a

l
a
s
i
a
,
6
5
3
6
5
4
a
n
a
t
o
m
y
,
6
5
2
6
5
3
caustic
esophageal
strictures,
657-658 di
use
esophageal

spasm, 654-655
esophageal
carcinoma, 658660
esoph
ageal
re ux,
656657
nutcr
acker
esoph
agus,
655
Zenkers
diverticulum,
653,
653
lungs
carci
noid
tum
or,
643644
hem
opty
sis,
645646
l
u
n
g
a
b
s
c

e
s
s
,
6
4
5
l
u
n
g
c
a
n
c
e
r
,
6
3
6
6
4
2
pulmonary
sequestration,
644
solitary
pulmonary
nodules, 642643
mediastinum,

646-647
a
n
a
t
o
m
y
,
6
4
6
6
4
7
l
y
m
p
h
o
m
a
s
,
6
5
0
med
iasti
nitis
,
650-

6
5
1
p
r
i
m
a
r
y
t
u
m
o
r
s
,
6
4
7
6
5
0
superior
vena
cava
syndrome,
651-652 pleura
pleural e usion,
635
spontaneou
s
pneumothora
x,
635-636

thoracic
outlet
syndrome,
632634
rombocytopenia, 127
rombotic
thrombocytopen
ic purpura
(TTP), 468,
471
u
m
b
p
r
i
n
t
i
n
g
,
1
9
1
y
m
o
m
a
,
6
4
7
-

6
4
9
yroglos
sal duct
cyst,
531,
531-532
yroid
carcino
ma, 451
yroid disease,
benign, 457-458

yroid gland,
446-460
anaplastic
carcinoma,
456
anatomy of,
446-448
benign thyroid
disease, 457-458
follicular
adenocarcinoma, 453454 Hrthle cell
thyroid cancer, 454
malignant thyroid
nodules, 451
medullary carcinoma,
454-455
papillary
adenocarcinoma, 452453 physiology of,
448-449
thyroid
carcinom
a,
451
thyroiditis
, 458-460
thyroid nodule,
449-451 toxic
multinodular
goiter, 458 yroid
isthmus, 448
yroi
ditis,
458460
acut
e,
458-

4
5
9
De
Que
rvai
ns,
459
Has
him
oto
s,
459
460
Rie
del
s,
460
subacute, 459
yroid
nodule,
449-451
di erential
diagnosis
of, 449
ne
needl
e
aspira
te,
450
malig
nant,
451
thyroid
suppression of,
450

yroid-stimulating
hormone (TSH),
449
yrotropin-releasing
hormone
(TRH),
448
Tibial pin, 708, 708
Tibial
plateau
fracture, 716, 716
Tidal volume, 496
Tietzes
syndrom
e,
34
Tinels
sign,
633
Tolbutamide
stimulation test, 438
Tonicity, 114
To
nsi
l
cla
mp
,
45
Tor
ad
ol,
14
0
TORCHES, 580
Torus fracture,
714, 714 Total
gastrectomy,
283, 283 Total
mastectomy,
418

Total
parenteral
nutrition
(TPN),
165
Toxic
megacolon,
346,
347, 793
Toxic
multinodular
goiter, 458
Toxic shock
syndrome,
35,
797
Tracheobron
chomalacia,
533
Tracheostom
y, 93, 630
Transcer
vical
fracture,
716
Transfusi
on
hemolysi
s, 128
Transfus
ion
reaction,
128
Transient ischemic
attack (TIA), 518
Transitional cell
carcinoma (TCC),
767
Transjugular
intrahepatic
portosystemic
shunt (TIPS), 367
Transmyocardial

laser revascularization

(TMR), 667

846 Index
Transpla
nt
surgery,
686-706
cells,
687
B cells, 687
m
a
c
r
o
p
h
a
g
e
,
6
8
7
T
c
e
l
l
s
,
6

8
7
complications, 705-706
donor
and
recipient,
matching of, 693
harvest
and
transplant
of
organ, time
between, 694
heart
transplant,
702-703
histocompat
ibility
antigens,
687 HLA
matching,
687
immunosuppressi
on, 688-692
atgam/antithymoc
yte globulin, 690
azathiopri
ne
(AZA),
689-690
corticoste
roids, 689
cycl
ospo
rine
(CS

A),
690
indu
ctio
n
ther
apy,
689
mycoph
enolate
mofetil,
691
OKT3,
691
s
i
r
o
l
i
m
u
s
,
6
9
1
t
a
c
r
o
l
i
m

u
s
,
6
9
1
triple therapy, 689
intestinal
transplant
ation, 703
kidney
transplant,
694-697
liver
transplant,
697-700
lung
trans
plant,
704705
organ
prese
rvati
on,
694
pancreas
transplant
, 700-702
rejection,
693-694
acute, 693
hyperacute, 693
Transposition
of
great vessels, 678679
Transrectal
ultrasound

(TRUS), 763
Transurethral incision of
prostate (TUIP),
772
Transurethral resection
of bladder (TURB),
768-769
Transurethral resection
of prostate (TURP),
89, 764, 772, 773
Transverse fracture, 712, 712
Transverse
rectus
abdominis
myocutaneous
(TRAM)
ap,
416, 416, 420, 588
Tr
au
m
a,
23
025
0
A
T
L
S
pr
ot
oc
ol,
23
0
basic workup for
trauma victim,
249 3-for-1 rule,

245
pediatric, 579-580
penetrating
neck injuries,
244-245
primary
survey, 230238
second
ary
survey,
238240
Spinal
cord,
745747
studies, 240-244
and
subarachnoid
hemorrhage,
751
urethral
injury in, 782
Trauma
resuscitatio
n uid, 236
Traumatic
myositis,
726
Trendelenburg position, 79,
79

Trental, 504
Triangle of
Calot, 370,
370
Triangular
ligaments of
liver, 350
Trigeminal
nerve, 598
Tr
ip
le
a
nt
ib
io
ti
cs
,
1
8
1
Tr
ip
le
A
re
p
ai
r,
9
0
Tr
ip
le
th
er
a

py
,
6
8
9
Tr
is
m
us
,
5
9
7
Trisomy 21, 582
Troph
ic
tube
feeds,
167
Trous
seaus
sign,
32,
122
Trous
seaus
syndr
ome,
35
Truncal
vagotomy,
92,
92,
268
Ttube, 96
Tullio
s
pheno
meno

n, 610
Tumo
rs,
747751
brain, 748
cerebell
ar
astrocyt
omas,
750 in
children,
748
o
f
e
x
t
e
r
n
a
l
e
a
r
,
6
0
2
g
l
i
o

m
a
,
7
4
8
7
4
9
m
ed
ull
ob
la
st
o
m
a,
75
0
m
en
in
gi
o
m
as,
74
9
pit
uitary
, 750751,
751
Turco
ts

syndr
ome,
323
Turf
toe,
725
Tympanic
membrane
(TM)
perforation,
602-603

Ulcerative
colitis (UC),
343-349
anal
involvement
in, 345
anatomic
distribution
, 345 bowel
wall
involvemen
t in, 345
complicatio
ns, 346
diagnostic tests for, 346
extraintestinal
manifestations
,
343
incidence, 344
initial
sympto
ms, 344
medical
treatme
nt, 347348

mucosal
ndings
in, 346
rectal
involve
ment in,
345 and
risk of
cancer,
346
route of
spread,
345
sur
gical
treat
ment,
347
Ulcer
s,
199200
Ulnar nerve,
590, 590,
591
Umbilical
hernia, 216,
548, 580
Unasyn,
133
Unicameral
bone cyst,
731
Unstable
fracture/disloc
ation, 708
Ureteral
obstruction,

765
U
r
e
t
e
r
a
l
s
t
e
n
t
s
,
7
6
1
U

r
e
t
e
r
o
c
e
l
e
,
7
8
3
Urethra
in
females, nding
of, 69, 69 Urge
incontinence,
780-781
Urgency, 763
Uric acid kidney stone, 786

Index 847
Urinary retention, 158,
801
Urinary tract infection
(UTI), 173-174, 764,
781
U
r
i
n
e
o
u
t
p
u
t

f
o
r
c
h
i
l
d
r
e
n
,

5
2
7
d
e
c
r
e
a
s
e
d
,
1
6
0
U
r
o
l
o
g
y
benign
prostatic
hyperplasia,
771-773
bladder
cancer, 767769
c

alcu
lus
dise
ase,
778779
epid
idy
miti
s,
777
ere
ctil
e
dys
fun
ctio
n,
778
inc
ont
ine
nce
,
780
781
pri
api
sm,
777
778
pro
stat
e
can
cer,

7
6
9
7
7
1
r
e
l
a
t
e
d
t
e
r
m
s
,
7
6
1
7
6
4
ren
al
cell
car
cin
om
a,
766

-767
scrotal
anatomy,
765
testic
ular
cancer,
773-776
testicula
r
torsion,
776-777
urinary
tract
infectio
n, 781
U-W
solution,
694

VACT
ERL
cluster
, 540,
553
Vagot
omy
a
nd
antr
ecto
my,
269

h
i
g
h
l
y
s
e
l
e
c
t
i
v
e
,
8
7
,
8
7

a
n
d
p
y
l
o
r

opla
sty,
268
Vag
us
nerv
e,
521
Valentin
os sign,
32, 299,
811
Valgus,
709,
709
V
a
n
c
o
m
y
c
i
n
,
1
3
4
V
a
r
i
c
o

c
e
l
e
,
7
6
2
V
a
r
u
s
,
7
0
9
,
7
0
9
Vascular prosthetic
gra , preop
antibiotics
for, 139
V
a
s
c
u
l
a
r

rings,
533,
679
Vasc
ular
surge
ry,
499526
abdominal aortic
aneurysms, 510515 acute arterial
occlusion, 508510
atherosclerosis, 499
carotid
vascular
disease,
518-521
endovascula
r repair, 501,
501
false aneurysm, 500
layers of artery, 500
lower extremity
amputations, 507, 507
median arcuate
ligament syndrome,
517-518 mesenteric
ischemia, 516-517
peripheral
vascular
disease, 501507 popliteal
artery
aneurysm, 524525 principle

of, 500
ren
al
arte
ry
sten
osis
,
522
523
sple
nic
arte
ry
ane
ury
sm,
524
subclavia
n
steal
syndrome
, 521-522
true
aneurysm
, 500
V
a
s
o
p
r
e
s
s
i
n

,
3
6
6
,
4
9
1
V
a
s
o
s
p
a
s
m
,
7
5
2

Vein of Mayo, 107


Venous
stasis
ulcer, 200,
792
Ventilation
, 495
Ventilator-associated
pneumonia (VAP), 184
Ventral hernia, 215
Ventricular assist device
(VAD), 685
Ventricular septal defect
(VSD), 674, 674-675 Veress
needle, 228
Vertical
mattress stitch,
56-57,
57
Vertigo, 609610
Vesicoenteric
stulas, 312
Vesicoureteral
re ux (VUR),
764
Vesicovaginal
stulas, 312
Vicryl sutures,
54
Vinyl chloride, 355
Virchows
node, 31, 280,
811 Virchows
triad, 31, 31,
143, 811
Vitamin A de
ciency, 164

Vitamin B12/folate
de ciency, 164
Vitamin
C
de
ciency, 164
Vitamin K, 805
Vitamin K
de ciency,
164
Volar
exion, 707
Volkmanns
contracture, 719, 725
Voluntary guarding,
206
Vomiting
nonbilious, 549
von Willebrands
disease, 130
V-Y advancement
ap, 589, 589

Ward emergencies, causes


of, 159-160 Warfarin
(coumadin), 136-137
Warren shunt, 367
Wartenber
gs sign,
596 Water
loss, daily,
110
WDHA
syndrome
,
403
Weber
test, 608
Weitlaner
retractor, 52
Wermers

syndrome, 35,
443
Wernickes
encephalopath
y, 185
Westermarks
sign, 32
Wettodry
dressi
ng,
94
Whar
tons
duct,
599
Whipple
procedure, 92,
93,
402
Whipples triad,
32, 404, 437,
810 White lines
of Toldt, 107,
313
Wilms tumor,
573, 573-574,
782
Winged
scapula, 405
Wirsung duct,
pancreas, 388
Wound
dehiscence,
abdominal, 94
Wound healing,
phases of, 584587
epi

thelializ
ation,
585
broplasi
a, 585
in ammation, 585
wound
contraction, 585-

586 Wound
hematoma,
158
Wound
infection,
158, 174-177
protection
from, 184

848 Index
Wounds, 93-94
classi cation of, 175-176
sucker, 51
clean, 175
clean-contaminated, 175
closure, 55
diverticulum, 653, 653
contaminated, 175
ciency, 165
delayed primary closure, 93
Ellison syndrome (ZES), 35, 261,
dirty, 175
442, 805, 808
healing, 55, 94
treatment, 442
primary closure, 93
syndrome, 439
secondary closure, 93
stimulation test, 440
wet-to-dry dressing, 94
signs/symptoms, 439
Wound seroma, 159
treatment, 442
Wrist dorsi exion, 707

Xenogra , 686

Yankauer

Zenkers
Zinc de
Zollinger439medical
and MEN-I
secretin

surgical
Zosyn, 134
Z-plasty, 588,
588

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